The implementation of exercise therapy within hospital-based mental healthcare: Delphi study
2024

Guidelines for Exercise Therapy in Mental Healthcare

Sample size: 24 publication Evidence: moderate

Author Information

Author(s): Caleb McMahen, Kemi Wright, Ben Jackson, Robert Stanton, Oscar Lederman, Grace McKeon, Simon Rosenbaum, Bonnie Furzer

Primary Institution: University of Western Australia

Hypothesis

What are the best practices for pre-exercise screening and health assessment of patients in hospital-based mental healthcare?

Conclusion

The study provides the first guidelines for implementing exercise therapy in Australian hospital-based mental healthcare.

Supporting Evidence

  • Exercise therapy can improve physical health outcomes for people with severe mental illness.
  • Pre-exercise screening is essential to prevent adverse events during exercise therapy.
  • Consensus was reached on the need for health assessments beyond just pre-exercise screening.

Takeaway

This study helps doctors know how to safely get patients with mental illness to exercise, which can make them healthier.

Methodology

A Delphi technique with two online surveys and two rounds of focus group discussions was used to reach consensus among experts.

Potential Biases

Participants may have had a bias towards the benefits of exercise due to their professional backgrounds.

Limitations

The study may not apply to all mental health services outside Australia and lacks patient perspectives.

Participant Demographics

24 participants, 71% female, average 9 years of experience in mental healthcare, mostly from Australia.

Digital Object Identifier (DOI)

10.1192/bjo.2024.717

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