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People who have a severe mental illness can have poorer physical health and higher mortality rates than the general population. Their medications combined with low levels of physical activity and increased sedentary behaviour can general population and may help people with severe mental illness to be more active.
A previous feasibility study has been conducted in the UK in a large city with positive findings. The current study will be conducted in rural settings in Northern Ireland and Republic of Ireland. The intervention will last 13 weeks. People with Severe Mental Illness will be randomly assigned into one of two groups. Both groups will get information on the benefits of physical activity. In addition, one group will be shown how to use a step counter to measure their steps, be invited to a weekly group walk, and meet their coach every 2 weeks contribute to this. Walking is a good way to increase physical activity in the to see how they are getting on and to support them.
The research team are interested in finding out how willing clinicians are to recruit people into the study, how willing people are to take part, do people then stick with the programme, and if not the reasons for people dropping out. Qualitative findings will explore whether participants feel they benefited from and enjoyed the programme. Findings will be used to investigate the feasibility to conduct a larger trial like this in the future.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Participants randomised to the intervention group will be invited to attend a group education session where they will be given a step counter and activity diary, they will be invited to weekly group walks and fortnightly coaching 1-1 sessions aimed at setting and reviewing goals to increase physical activity and reduce sedentary behaviour |
|
| Control group | No Intervention | Participants randomised to the control group will be given an information leaflet about being more active during a one-off 1-1 consultation. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group walk and one to one coaching | Behavioral | Participants will be invited to attend a group education session, weekly group walks and fortnightly coaching sessions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Study recruitment rate | The number of participants recruited to the study in relation to the number of individuals screened along with reasons for exclusion. | Through study completion, approx. 18 months |
| Retention of study participants | The number of participants that complete the study intervention versus the number of dropouts will be analysed along with reasons for drop out. | Through study completion, approx. 18 months |
| Level of acceptability assessed by semi-structured interviews | Semi-structured interviews will involve gaining information on participants' level of overall satisfaction with the intervention | Data will be collected from participants at completion of the intervention, approx 3 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in activity levels | Participants' activity levels will be measured at baseline and end of intervention | Data will be collected at baseline and at completion of intervention, approx 3 months. |
| Change in body weight (kilograms) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Suzanne M McDonough, PhD | Ulster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Louth Meath Midlands HSE | Dundalk | Louth | Ireland | |||
| Western HSCT |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42252141 | Derived | McDonough SM, Dillon M, McDonough CM, McAuley J, Clarke M, Murphy C, Clarke M, McArdle D, Niven A, Williams J, Wilson I, Tully MA, Murphy MH, Howes SC. Randomised controlled feasibility trial of an intervention to increase activity and reduce sedentary behaviour in people with severe mental illness: Walking fOR Health (WORtH) study. BMJ Open. 2026 Jun 7;16(6):e107567. doi: 10.1136/bmjopen-2025-107567. | |
| 34782018 |
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Participants' body weight will be measured at baseline and end of intervention
| Data will be collected at baseline and at completion of intervention, approx 3 months. |
| Change in waist circumference (cm) | Participants' waist circumference will be measured at baseline and end of intervention | Data will be collected at baseline and at completion of intervention, approx 3 months. |
| Omagh |
| Tyrone |
| United Kingdom |
| Northern HSCT | Antrim | United Kingdom |
| Derived |
| McDonough SM, Howes SC, Dillon M, McAuley J, Brady J, Clarke M, Clarke M, Lait E, McArdle D, O'Neill T, Wilson I, Niven A, Williams J, Tully MA, Murphy MH, McDonough CM. A study protocol for a randomised controlled feasibility trial of an intervention to increase activity and reduce sedentary behaviour in people with severe mental illness: Walking fOR Health (WORtH) Study. Pilot Feasibility Stud. 2021 Nov 15;7(1):205. doi: 10.1186/s40814-021-00938-5. |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D012559 | Schizophrenia |
| D001714 | Bipolar Disorder |
| D003865 | Depressive Disorder, Major |
| D011618 | Psychotic Disorders |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |
| D003866 | Depressive Disorder |
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