None listed
Conditions
Brief summary
Young people experiencing severe mental health disorders, also have poorer physical health compared to their healthy peers. Orygen Youth Health (OYH) offers a range of physical health interventions to tackle this need. One novel intervention recently set up by a senior clinician within OYH is a boxing group which utilises non-contact boxing training techniques to improve fitness and strength. This research study is being conducted to determine whether a boxing group is a feasible and acceptable way of supporting young people with mental health disorders to improve their physical and mental well-being. It will allow us to establish data that could be used to support future grant applications as well as data to support the ongoing inclusion of boxing groups in the OYH group program.
Interventions
The boxing group has already been established at Orygen and is run once per week by 2 qualified instructors. This study aims to evaluate this intervention. In addition to the standard case-management and medical management offered at Orygen, participants consenting to take part in the study will be invited to attend a 6-week boxing group run once a week at Orygen. The group is run once a week and lasts one hour and is run by a fully qualified boxing coach who is also a clinical psychologist. It is supported by an exercise physiologist. Both are trained in First Aid, with a defibrillator and first aid box being available in the gym where the boxing group will occur. The class consists of warming up, followed by learning/practicing a combination of boxing moves in pairs (for example using jabs, crosses, uppercuts, hooks, slips, weaves or covers where 1 participant hits focus mitts while the other holds), then a strength & conditioning exercise – typically a large muscle group e.g. lunges or jump squats for legs. This format is repeated three times, followed by a warm down and static stretch. To end with, the coach leads a debrief with the group discussing the following: 1) What part of the session they enjoyed the most, 2) What their partner did well, 3) What health/ fitness goals they will work on during the week. Adherence to the intervention will monitored though session attendance checklist, i.e. how many of the 6 sessions offered were attended by the participant
Sponsors
Study design
Eligibility
Inclusion criteria
a) Eligible for OYH services which involves: residing within the geographically defined catchment area, be aged between 15 and 25 and one of the following: - for EPPIC: experiencing a first episode of psychosis (defined as experiencing at least one positive psychotic symptom on a daily basis for at least one week) - for PACE: might be at risk of developing psychosis i.e. attenuated positive psychotic symptoms at subthreshold symptom intensity or frequency, present within the last year for at least a week, or brief limited intermittent psychotic symptoms, which are full-threshold psychotic symptoms that have lasted no more than 1 week and remitted without intervention, or trait vulnerability, defined as either schizotypal personality disorder in that individual, or a first-degree relative with a psychotic disorder diagnosis. - for HYPE: meeting 3 out of the 9 DSM-5 criteria of borderline personality disorder - for the Mood clinic: experiencing depression, bipolar II disorder (non-psychotic bipolar disorder) and severe anxiety disorders such as anxiety and obsessive compulsive disorder. b) Ability to provide informed consent.
Exclusion criteria
a) An inability to provide informed consent. b) Physical activity is contra-indicated, as assessed by the person’s GP or treating doctor.