Physical health of people with severe mental illness in secure forensic services Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult inpatient at medium or low secure unit at Greater Manchester Mental Health NHS Foundation Trust 2. Mental health diagnosis requiring treatment from secure services 3. Capacity to consent taking part in the study 4. >18 years of age
Exclusion criteria
Exclusion criteria: 1. inability to provide informed consent in line with ethical requirements 2. Previous Motiv8 participant from the pilot study as this will confound the outcomes of the study as the individual will have previously completed the programme, and this may affect the feasibility criteria of attendance/adherence 3. Insufficient command of English or communication difficulties which prevents engagement in written informed consent, validity of research assessments (eg English language standardised assessments), understanding of the programme and communication with the research and clinical teams without interpreters or additional support workers. This is due to the fact that the research assessments used are validated in English, for adult populations with an assumed standard literacy level.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility outcomes: 1. Recruitment as measured by number of referrals and number consenting and randomised. Timepoint: Baseline 2. Retention as measures by percentage follow-up and completion of measures. Timepoint: baseline, 10 weeks (post intervention), and 12 weeks (post follow up). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Attendance at intervention sessions, adherence to Motiv8 programme as measured by the number of sessions attended and participated in measured using patient records at 9 weeks. 2. Physical Health Measures including body composition (height (cm), weight (kg), BMI (kg/m²), hip/waist/chest/neck circumference (cm)), blood pressure (mmHg) and pulse (bpm), fitness (such as 6-minute walk and/or standing jump test) at baseline, 10 weeks, and 3 months. 3. Mental Health Assessments including WEMWEBS, HADS, SNS at baseline, 10 weeks, and 3 months. 4. Behavioural Assessments including SIMPAWQ, MOHOST, 24Hr Diet Recall, PROMIS SD Short-Form, PROMIS SRI Short-Form at baseline, 10 weeks, and 3 months. 5. Measures to support Economic Evaluation including EQ-5D-5L, ReQOL, Engagement with Ward Activity, LUNSERS at baseline, 10 weeks, and 3 months. 6. Staff measures including M-BACK Questionnaire, ESSEN-CES before and after Motiv8 intervention is delivered. 7. Qualitative feedback on participant experiences of taking part in the study at the end of the study. | — |
Countries
England, United Kingdom