학술논문
Designing and implementing a physical exercise intervention for people with first episode psychosis using experience-based co-design: A pilot study from Chennai, India.
Document Type
Academic Journal
Author
Vijayalakshmi U; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India.; Padmavati R; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India. Electronic address: padmavati@scarfindia.org.; Raghavan V; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India.; Chandrasekaran S; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India.; Mohan G; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India.; Durairaj J; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India.; Currie G; Warwick Business School, University of Warwick, Coventry, UK.; Lilford R; Institution of Applied Health Research, University of Birmingham, Birmingham, UK.; Furtado V; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.; Madan J; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.; Birchwood M; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.; Meyer C; WMG and Warwick Medical School, University of Warwick, Coventry, UK.; Sood M; Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.; Chadda R; Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.; Mohan M; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.; Shah J; Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute; Montreal, Canada; Department of Psychiatry, McGill University, Montreal, Canada.; John S; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India.; Iyer SN; Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute; Montreal, Canada; Department of Psychiatry, McGill University, Montreal, Canada.; Thara R; Schizophrenia Research Foundation, R/7A, North Main Road, Anna Nagar West Extension, Chennai, India.; Singh S; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK; Conventry and Warwickshire Partnership Trust, Coventry, UK.
Source
Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101517820 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1876-2026 (Electronic) Linking ISSN: 18762018 NLM ISO Abbreviation: Asian J Psychiatr Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Physical exercise can improve outcomes for people with first-episode psychosis (FEP). Co-designing physical exercise interventions with end users has the potential to enhance their acceptability, feasibility, and long-term viability. This study's objective was to use experience-based co-design (EBCD) methodology to develop a physical exercise intervention for FEP, and pilot test it.
Methods: The study was conducted at the Schizophrenia Research Foundation's FEP program in Chennai, India. Participants(N=36) were individuals with FEP and their caregivers, mental health professionals (MHPs, and physical training experts. EBCD methodology included one-to-one interviews, focus group discussions, joint conferences, and co-design workshops. Two instructional videos were developed. Twelve FEP patients engaged in physical exercise with help of the videos over three months. They were followed up through weekly phone calls and in-person interviews to capture data on regularity, frequency, location of exercise, and comfort levels.
Results: Several touch points emerged from the interviews, focus groups, and joint meetings including lack of motivation, knowledge about physical exercise; differing perspectives about physical exercise; limited resource, and time constraints. Two instructional videos demonstrating activities for participants incorporated strategies that addressed these touch points. Pilot data indicated that participants engaged with the physical exercise intervention over 3 months.
Conclusion: This was the first study to use co-design methodology to design a physical exercise intervention for first-episode psychosis. The intervention may have therefore been responsive to stakeholder needs and preferences. Results of this study highlight the potential of co-design in designing and adapting interventions. There is need for rigorous testing with larger samples.
Competing Interests: Declaration of Competing Interest The authors declare no conflict of interest.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Methods: The study was conducted at the Schizophrenia Research Foundation's FEP program in Chennai, India. Participants(N=36) were individuals with FEP and their caregivers, mental health professionals (MHPs, and physical training experts. EBCD methodology included one-to-one interviews, focus group discussions, joint conferences, and co-design workshops. Two instructional videos were developed. Twelve FEP patients engaged in physical exercise with help of the videos over three months. They were followed up through weekly phone calls and in-person interviews to capture data on regularity, frequency, location of exercise, and comfort levels.
Results: Several touch points emerged from the interviews, focus groups, and joint meetings including lack of motivation, knowledge about physical exercise; differing perspectives about physical exercise; limited resource, and time constraints. Two instructional videos demonstrating activities for participants incorporated strategies that addressed these touch points. Pilot data indicated that participants engaged with the physical exercise intervention over 3 months.
Conclusion: This was the first study to use co-design methodology to design a physical exercise intervention for first-episode psychosis. The intervention may have therefore been responsive to stakeholder needs and preferences. Results of this study highlight the potential of co-design in designing and adapting interventions. There is need for rigorous testing with larger samples.
Competing Interests: Declaration of Competing Interest The authors declare no conflict of interest.
(Copyright © 2024 Elsevier B.V. All rights reserved.)