SynthesisEuropean psychiatry : the journal of the Association of European Psychiatrists2020
Understanding the experience of initiating community-based group physical activity by people with serious mental illness: A systematic review using a meta-ethnographic approach.
Synthesis in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluation of the uptake, retention and effectiveness of exercise referral schemes for the management of mental health conditions in primary care: a systematic review.BMC public health · 2022Pooled it
- An implementation evaluation of the physical activity counseling for in-patients with major depressive disorder (PACINPAT) intervention: a randomized controlled trial.BMC psychiatry · 2023Trial
- Bridging the gap: co-producing resources for NHS mental health trusts and community providers to support people with severe mental illness live active lives in their community.BMC public health · 2026Article
- Mind in motion: patients' experiences with group-based physical activity in psychiatric treatment- a mixed-methods study.BMC psychiatry · 2026Article
- Better together: Service user and delivery staff experiences of the SPACES physical activity intervention for people with severe mental illness - a qualitative study of a feasibility trial.Mental health and physical activity · 2025Article
- Determinants of physical activity and exercise in individuals with mental illness: results from a large cross-sectional online survey.BMJ open · 2025Article
- The efficacy, mechanisms and implementation of physical activity as an adjunctive treatment in mental disorders: a meta-review of outcomes, neurobiology and key determinants.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Gym and swim: a co-facilitated exercise program that improves community connection, confidence, and exercise habits in a community mental health service.Discover mental health · 2024Article
- Article
- Health-risk behaviours among people with severe mental ill health: understanding modifiable risk in the Closing the Gap Health Study.The British journal of psychiatry : the journal of mental science · 2023Article
- Physical Activity in Adults with Schizophrenia and Bipolar Disorder: A Large Cross-Sectional Survey Exploring Patterns, Preferences, Barriers, and Motivating Factors.International journal of environmental research and public health · 2023Article
- Perspectives of professional experts in relation to the development of community-based exercise for young adults with schizophrenia: a qualitative study.BMJ open sport & exercise medicine · 2023Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople living with serious mental illness (SMI) experience debilitating symptoms that worsen their physical health and quality of life. Regular physical activity (PA) may bring symptomatic improvements and enhance wellbeing. When undertaken in community-based group settings, PA may yield additional benefits such as reduced isolation. Initiating PA can be difficult for people with SMI, so PA engagement is commonly low. Designing acceptable and effective PA programs requires a better understanding of the lived experiences of PA initiation among people with SMI.
methodsThis systematic review of qualitative studies used the meta-ethnography approach by Noblit and Hare (1988). Electronic databases were searched from inception to November 2017. Eligible studies used qualitative methodology; involved adults (≥18 years) with schizophrenia, bipolar affective disorder, major depressive disorder, or psychosis; reported community-based group PA; and captured the experience of PA initiation, including key features of social support. Study selection and quality assessment were performed by four reviewers.
resultsSixteen studies were included in the review. We identified a "journey" that depicted a long sequence of phases involved in initiating PA. The journey demonstrated the thought processes, expectations, barriers, and support needs of people with SMI. In particular, social support from a trusted source played an important role in getting people to the activity, both physically and emotionally. DISCUSSION: The journey illustrated that initiation of PA for people with SMI is a long complex transition. This complex process needs to be understood before ongoing participation in PA can be addressed. Registration-The review was registered on the International Prospective Register of Systematic Reviews (PROSPERO) on 22/03/2017 (registration number CRD42017059948).
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