Increase in physical activity in people with severe mental illness Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or older 2. ICD-10 or DSM-V diagnosis of SMI as documented in GP or psychiatric notes (schizophrenia (F20 and subcodes); schizoaffective disorder (F25 and subcodes); other psychotic and delusional disorders (not of organic origin) (F21-F24 and F26-F29 and subcodes); bipolar and manic episodes (F30 and F31 and subcodes)). 3. Are able to walk unaided 4. Willing to wear an accelerometer
Exclusion criteria
Exclusion criteria: 1. People who lack capacity to participate 2. Primary diagnosis of drug or alcohol abuse 3. Medical contraindication of physical activity as ascertained by GP or mental health team 4. Already physically active, defined as >300 minutes/week of self-reported moderate-to-vigorous physical activity (MVPA) 5. Non-English speakers 6. People who took part in the feasibility study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective accelerometer-derived minutes per day of Moderate to Vigorous Physical Activity (MVPA) measured at 6-months post randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcomes as of 29/05/2026: 1. Data on physical activity (light physical activity and MVPA) and sedentary behaviour will be collected by wrist worn accelerometers at baseline, 3, 6 and 12 months post randomisation 2. The Simple Physical Activity Questionnaire (SIMPAQ) will be used to measure self-reported physical activity and sedentary behaviour at baseline, 3, 6 and 12 months post randomisation Other secondary outcomes measured at 3, 6 and 12 months: 3. Body mass index (kg/m²) 4. Depression (PHQ-9) 5. Anxiety (GAD-7) 6. Loneliness (UCLA-3 item) 7. Health-related quality of life (EQ5D, REQoL) 8. Healthcare resource use and predictive behavioural questionnaire Health risk behaviours (smoking and diet) will be collected at baseline Previous secondary outcomes: 1. Data on physical activity (light physical activity and MVPA) and sedentary behaviour will be collected by wrist worn accelerometers at baseline, 3, 6 and 12 months post randomisation 2. The Simple Physical Activity Questionnaire (SIMPAQ) will be used to measure self-reported physical activity and sedentary behaviour at baseline, 3, 6 and 12 months post randomisation Other secondary outcomes measured at 3, 6 and 12 months: 3. Health behaviours (diet and smoking) 4. Body mass index (kg/m²) 5. Depression (PHQ-9) 6. Anxiety (GAD-7) 7. Loneliness (UCLA-3 item) 8. Health-related quality of life (EQ5D, REQoL) 9. Healthcare resource use and predictive behavioural questionnaire | — |
Countries
England, United Kingdom