Evidence map›Paper›PMID 39143687›Full record

ArticleBJPsych open2024

The implementation of exercise therapy within hospital-based mental healthcare: Delphi study.

Caleb McMahen, Kemi Wright, Ben Jackson, Robert Stanton, Oscar Lederman, Grace McKeon, Simon Rosenbaum, Bonnie Furzer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Caleb McMahenSchool of Human Sciences (Exercise and Sport Science), University of Western Australia, Perth, Western Australia, Australia; and Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0001-6061-3886
Kemi WrightSchool of Health Sciences, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7146-0835
Ben JacksonSchool of Human Sciences (Exercise and Sport Science), University of Western Australia, Perth, Western Australia, Australia; and Telethon Kids Institute, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0003-0351-8377
Robert StantonSchool of Health, Medical, and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.ORCID https://orcid.org/0000-0002-6684-5087
Oscar LedermanSchool of Health Sciences, University of New South Wales, Sydney, New South Wales, Australia; and School of Sports Exercise and Rehabilitation, University of Technology Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-0321-5723
Grace McKeonSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia; and Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4722-1639
Simon RosenbaumSchool of Health Sciences, University of New South Wales, Sydney, New South Wales, Australia; and Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-8984-4941
Bonnie FurzerSchool of Human Sciences (Exercise and Sport Science), University of Western Australia, Perth, Western Australia, Australia; Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Perth, Western Australia, Australia; and Telethon Kids Institute, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-0321-6988

Funding

Australian Government
6 · The paper itself

Abstract

backgroundThe physical health comorbidities and premature mortality experienced by people with mental illness has led to an increase in exercise services embedded as part of standard care in hospital-based mental health services. Despite the increase in access to exercise services for people experiencing mental illness, there is currently a lack of guidelines on the assessment and triage of patients into exercise therapy.

aimsTo develop guidelines for the pre-exercise screening and health assessment of patients engaged with exercise services in hospital-based mental healthcare and to establish an exercise therapy triage framework for use in hospital-based mental healthcare.

methodA Delphi technique consisting of two online surveys and two rounds of focus group discussions was used to gain consensus from a multidisciplinary panel of experts.

resultsConsensus was reached on aspects of pre-exercise health screening, health domain assessment, assessment tools representing high-value clinical assessment, and the creation and proposed utilisation of an exercise therapy triage framework within exercise therapy.

conclusionsThis study is the first of its kind to provide guidance on the implementation of exercise therapy within Australian hospital-based mental healthcare. The results provide recommendations for appropriate health assessment and screening of patients in exercise therapy, and provide guidance on the implementation and triage of patients into exercise therapy via a stepped framework to determine (a) the timeliness of exercise therapy required and (b) the level of support required in the delivery of their exercise therapy.

Indexed as

Exercise therapyexercise therapy triagemental health servicesrehabilitationsevere mental illness

Identifiers

PMID39143687
PMCPMC11698169

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.