The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial

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The impact of exercise training complementary to early intervention in patients with first-episode psychosis : a qualitative sub-study from a randomized controlled feasibility trial. / Larsen, Lene Q; Schnor, Helle; Tersbøl, Britt P; Ebdrup, Bjørn H; Nordsborg, Nikolai Baastrup; Midtgaard, Julie.

In: BMC Psychiatry, Vol. 19, 192, 2019.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Larsen, LQ, Schnor, H, Tersbøl, BP, Ebdrup, BH, Nordsborg, NB & Midtgaard, J 2019, 'The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial', BMC Psychiatry, vol. 19, 192. https://doi.org/10.1186/s12888-019-2179-3

APA

Larsen, L. Q., Schnor, H., Tersbøl, B. P., Ebdrup, B. H., Nordsborg, N. B., & Midtgaard, J. (2019). The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial. BMC Psychiatry, 19, [192]. https://doi.org/10.1186/s12888-019-2179-3

Vancouver

Larsen LQ, Schnor H, Tersbøl BP, Ebdrup BH, Nordsborg NB, Midtgaard J. The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial. BMC Psychiatry. 2019;19. 192. https://doi.org/10.1186/s12888-019-2179-3

Author

Larsen, Lene Q ; Schnor, Helle ; Tersbøl, Britt P ; Ebdrup, Bjørn H ; Nordsborg, Nikolai Baastrup ; Midtgaard, Julie. / The impact of exercise training complementary to early intervention in patients with first-episode psychosis : a qualitative sub-study from a randomized controlled feasibility trial. In: BMC Psychiatry. 2019 ; Vol. 19.

Bibtex

@article{70ecf372a7e14c8bbf902b37ad615228,
title = "The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial",
abstract = "Background: Burgeoning evidence suggests that exercise improves physical and mental health in people with schizophrenia. However, little is known about the feasibility and acceptability of high-intensity training in patients with first-episode psychosis. This qualitative study explored motivation, social interaction and experiences of participants and instructors in relation to an eight-week moderate to high intensity exercise training programme in a clinical trial including patients with first-episode psychosis.Methods: The study used a combination of method, source and investigator triangulation. Data were collected by means of semi-structured individual interviews with participants at baseline (n = 16) and at follow-up (n = 9), as well as by means of participant observations during the programme (8 sessions × 1.5 h, 12 h in total) and focus group discussions with participants (n = 3) and instructors (n = 4), respectively, after the programme. Data were analysed using thematic analysis as described by Braun and Clarke.Results: Three main themes and ten subthemes emerged during the analysis: 1) motivation and expectations for enrolment (subthemes: routines and structure, social obligation, goal setting and self-worth); 2) new demands and opportunities (subthemes: practicalities of the training, an understanding exercise setting, and alone and together); and 3) looking ahead - reflections on impact (subthemes: restored sleep and circadian rhythm, energy and sense of achievement, changed everyday life, and hope of finding a new path). Findings suggest that the programme was appealing to, and appreciated by, the participants because of its potential to create an equally challenging and caring non-clinical environment.Conclusions: This study indicates that supervised, group-based, moderate to high intensity exercise training complementary to early intervention in psychosis is acceptable. Specifically, the intervention appeared to provide patients an opportunity to integrate the notion of being a young individual along with being a patient with a psychiatric diagnosis, thus supporting and promoting recovery.Trial registration: ClinicalTrials.gov identifier: NCT03409393. Registered January 24, 2018.",
keywords = "The Faculty of Science, Schizophrenia, Exercise training, Early intervention, Young adults, Recovery, First-episode psychosis, Thematic analysis",
author = "Larsen, {Lene Q} and Helle Schnor and Tersb{\o}l, {Britt P} and Ebdrup, {Bj{\o}rn H} and Nordsborg, {Nikolai Baastrup} and Julie Midtgaard",
note = "CURIS 2019 NEXS 218",
year = "2019",
doi = "10.1186/s12888-019-2179-3",
language = "English",
volume = "19",
journal = "B M C Psychiatry",
issn = "1471-244X",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - The impact of exercise training complementary to early intervention in patients with first-episode psychosis

T2 - a qualitative sub-study from a randomized controlled feasibility trial

AU - Larsen, Lene Q

AU - Schnor, Helle

AU - Tersbøl, Britt P

AU - Ebdrup, Bjørn H

AU - Nordsborg, Nikolai Baastrup

AU - Midtgaard, Julie

N1 - CURIS 2019 NEXS 218

PY - 2019

Y1 - 2019

N2 - Background: Burgeoning evidence suggests that exercise improves physical and mental health in people with schizophrenia. However, little is known about the feasibility and acceptability of high-intensity training in patients with first-episode psychosis. This qualitative study explored motivation, social interaction and experiences of participants and instructors in relation to an eight-week moderate to high intensity exercise training programme in a clinical trial including patients with first-episode psychosis.Methods: The study used a combination of method, source and investigator triangulation. Data were collected by means of semi-structured individual interviews with participants at baseline (n = 16) and at follow-up (n = 9), as well as by means of participant observations during the programme (8 sessions × 1.5 h, 12 h in total) and focus group discussions with participants (n = 3) and instructors (n = 4), respectively, after the programme. Data were analysed using thematic analysis as described by Braun and Clarke.Results: Three main themes and ten subthemes emerged during the analysis: 1) motivation and expectations for enrolment (subthemes: routines and structure, social obligation, goal setting and self-worth); 2) new demands and opportunities (subthemes: practicalities of the training, an understanding exercise setting, and alone and together); and 3) looking ahead - reflections on impact (subthemes: restored sleep and circadian rhythm, energy and sense of achievement, changed everyday life, and hope of finding a new path). Findings suggest that the programme was appealing to, and appreciated by, the participants because of its potential to create an equally challenging and caring non-clinical environment.Conclusions: This study indicates that supervised, group-based, moderate to high intensity exercise training complementary to early intervention in psychosis is acceptable. Specifically, the intervention appeared to provide patients an opportunity to integrate the notion of being a young individual along with being a patient with a psychiatric diagnosis, thus supporting and promoting recovery.Trial registration: ClinicalTrials.gov identifier: NCT03409393. Registered January 24, 2018.

AB - Background: Burgeoning evidence suggests that exercise improves physical and mental health in people with schizophrenia. However, little is known about the feasibility and acceptability of high-intensity training in patients with first-episode psychosis. This qualitative study explored motivation, social interaction and experiences of participants and instructors in relation to an eight-week moderate to high intensity exercise training programme in a clinical trial including patients with first-episode psychosis.Methods: The study used a combination of method, source and investigator triangulation. Data were collected by means of semi-structured individual interviews with participants at baseline (n = 16) and at follow-up (n = 9), as well as by means of participant observations during the programme (8 sessions × 1.5 h, 12 h in total) and focus group discussions with participants (n = 3) and instructors (n = 4), respectively, after the programme. Data were analysed using thematic analysis as described by Braun and Clarke.Results: Three main themes and ten subthemes emerged during the analysis: 1) motivation and expectations for enrolment (subthemes: routines and structure, social obligation, goal setting and self-worth); 2) new demands and opportunities (subthemes: practicalities of the training, an understanding exercise setting, and alone and together); and 3) looking ahead - reflections on impact (subthemes: restored sleep and circadian rhythm, energy and sense of achievement, changed everyday life, and hope of finding a new path). Findings suggest that the programme was appealing to, and appreciated by, the participants because of its potential to create an equally challenging and caring non-clinical environment.Conclusions: This study indicates that supervised, group-based, moderate to high intensity exercise training complementary to early intervention in psychosis is acceptable. Specifically, the intervention appeared to provide patients an opportunity to integrate the notion of being a young individual along with being a patient with a psychiatric diagnosis, thus supporting and promoting recovery.Trial registration: ClinicalTrials.gov identifier: NCT03409393. Registered January 24, 2018.

KW - The Faculty of Science

KW - Schizophrenia

KW - Exercise training

KW - Early intervention

KW - Young adults

KW - Recovery

KW - First-episode psychosis

KW - Thematic analysis

U2 - 10.1186/s12888-019-2179-3

DO - 10.1186/s12888-019-2179-3

M3 - Journal article

VL - 19

JO - B M C Psychiatry

JF - B M C Psychiatry

SN - 1471-244X

M1 - 192

ER -

ID: 222974093