TY - JOUR
T1 - Muva physical activity intervention improves social functioning in people with a severe mental illness
T2 - A pragmatic stepped wedge cluster controlled trial
AU - Maria Koomen, Lisanne Elisabeth
AU - Theodora van de Meent, Ilona Hendrika
AU - Deenik, Jeroen
AU - van Dellen, Edwin
AU - Schnack, Hugo Gerard
AU - Hendrikus van Werkhoven, Cornelis
AU - Swildens, Wilma Elisabeth
AU - van Meijel, Berno
AU - Staal, Wouter
AU - Jörg, Frederike
AU - Scheepers, Floortje
AU - Cahn, Wiepke
N1 - Publisher Copyright:
© 2024 UMC Utrecht
PY - 2024/3
Y1 - 2024/3
N2 - Severe mental illness (SMI) imposes a significant burden on individuals, resulting in long-lasting symptoms, lower social functioning and impaired physical health. Physical activity (PA) interventions can improve both mental and physical health and care workers can serve as healthy role models. Yet, individuals with SMI face barriers to PA participation. This study evaluated the effects of Muva, and assessed if mental health worker's (MHW) characteristics were associated with clients' change in social functioning. Muva, an intervention package primarily created to increase PA of people with SMI, places a special focus on MHWs as they might play a key role in overcoming barriers. Other PA barrier-decreasing elements of Muva were a serious game app, lifestyle education, and optimization of the medication regime. Method: This study is a pragmatic stepped wedge cluster controlled trial. Controls received care as usual. Mixed-effects linear regressions were performed to assess changes in the primary outcome social functioning, and secondary outcomes quality of life, psychiatric symptoms, PA, body mass index, waist circumference, and blood pressure. Results: 84 people with SMI were included in three intervention clusters, and 38 people with SMI in the control cluster. Compared to the control condition, there was significant clinical improvement of social functioning in interpersonal communication (p=<0.01) and independent competence (p=<0.01) in people receiving Muva. These outcomes were not associated with MHW's characteristics. There were no changes in the other outcome measures. Conclusions: Muva improved social functioning in people with SMI compared to care as usual.
AB - Severe mental illness (SMI) imposes a significant burden on individuals, resulting in long-lasting symptoms, lower social functioning and impaired physical health. Physical activity (PA) interventions can improve both mental and physical health and care workers can serve as healthy role models. Yet, individuals with SMI face barriers to PA participation. This study evaluated the effects of Muva, and assessed if mental health worker's (MHW) characteristics were associated with clients' change in social functioning. Muva, an intervention package primarily created to increase PA of people with SMI, places a special focus on MHWs as they might play a key role in overcoming barriers. Other PA barrier-decreasing elements of Muva were a serious game app, lifestyle education, and optimization of the medication regime. Method: This study is a pragmatic stepped wedge cluster controlled trial. Controls received care as usual. Mixed-effects linear regressions were performed to assess changes in the primary outcome social functioning, and secondary outcomes quality of life, psychiatric symptoms, PA, body mass index, waist circumference, and blood pressure. Results: 84 people with SMI were included in three intervention clusters, and 38 people with SMI in the control cluster. Compared to the control condition, there was significant clinical improvement of social functioning in interpersonal communication (p=<0.01) and independent competence (p=<0.01) in people receiving Muva. These outcomes were not associated with MHW's characteristics. There were no changes in the other outcome measures. Conclusions: Muva improved social functioning in people with SMI compared to care as usual.
KW - eHealth
KW - Healthy lifestyle
KW - lifestyle psychiatry
KW - Physical activity
KW - Severe mental illness
KW - Social functioning
KW - Stepped wedge trial
KW - Supported housing
UR - http://www.scopus.com/inward/record.url?scp=85192984481&partnerID=8YFLogxK
U2 - 10.1016/j.mhpa.2024.100601
DO - 10.1016/j.mhpa.2024.100601
M3 - Article
AN - SCOPUS:85192984481
SN - 1755-2966
VL - 26
JO - Mental health and physical activity
JF - Mental health and physical activity
M1 - 100601
ER -