Physical Activity to Reduce Diabetes Risk in Serious Mental Illness: PARCS Pilot Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mental Disorders, Severe
- Sponsor
- Augusta University
- Enrollment
- 20
- Locations
- 2
- Primary Endpoint
- Percent attendance
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of this project is to trial the protocol of a park-based physical activity (PA) intervention in adults with severe mental illness (SMI) in a community mental health center's peer support program.
Detailed Description
Aim 1: Test the feasibility and acceptability of a park-based PA intervention led by Certified Peer Specialists (CPS) and adapted for adults with SMI. Rationale: Park-based interventions led by CPSs represent a novel approach to increase program satisfaction and adherence to PA behavior change in persons with SMI. Hypothesis 1A: Most (80%) people offered the intervention will participate most of the time (≥2 day/week). Hypothesis 1B: CPSs and SMI patients will express satisfaction with the program (6 on an 8-point scale). Aim 2: Test the effectiveness of a park-based PA intervention led by CPSs on increasing PA and improving fitness in adults with SMI. Rationale: Park-based PA is associated with greater intensity and duration of PA, better fitness, and less obesity and depression, issues that are especially problematic for adults with SMI. Hypothesis 2A: People enrolled in the intervention will engage in more PA than at baseline (90min moderate to vigorous PA (MVPA)/week). Hypothesis 2B: The intervention will result in improved fitness (6 min walk test) relative to baseline.
Investigators
Catherine Davis
Professor of Medicine
Augusta University
Eligibility Criteria
Inclusion Criteria
- •Authorized for peer group treatment through the Serenity behavioral health facility
- •Medically cleared for participation
- •Able to act as their own legal guardian
Exclusion Criteria
- •Age under 18
Outcomes
Primary Outcomes
Percent attendance
Time Frame: During 6-week intervention period
Feasibility will be assessed by attendance to park PA sessions (0-100%). Higher attendance indicates greater engagement with the intervention.
Participant satisfaction
Time Frame: 8 weeks
Acceptability will be assessed via participant satisfaction, measured using an abbreviated version of the Physical Activity Class Satisfaction Questionnaire (PACSQ). PACSQ is a valid measure for capturing client satisfaction within exercise classes in the following nine dimensions: mastery experiences, cognitive development, teaching, normative success, interaction with others, fun and enjoyment, improvement of health and fitness, diversionary experiences, and relaxation. Each of the dimensions of satisfaction is measured using an 8-point Likert scale, with responses ranging from 1="No satisfaction" to 8="Very satisfying". PACSQ has shown acceptable reliability in each of its subscales (all α's ≥ .85), and survey items are highly correlated with participants' intentions to attend a similar course in the future.
Secondary Outcomes
- Change in Aerobic Fitness from Baseline at 8 weeks(Baseline, 8 weeks)
- Change in Physical Activity(Baseline, during 6-week intervention period)