Using Motivational Techniques to Increase Levels of Physical Activity in Long Term Psychiatric Inpatient Wards

NCT03528278 | Completed

• 1 other identifier: 2012/2266
• Study Type: observational
• Target: 83
• Locations: 1 country
• Sites: 2

Brief Summary

The current research project aims at investigating whether it is possible to obtain an increase in physical activity among inpatients with schizophrenia spectrum disorders by the use of motivational interviewing and environmental interventions, and whether interventions will be associated with an increase in physical fitness and/or improvement in mental health. The Norwegian health care system operates with a catchment-area based organization, which make high levels of representability of patients possible. Patients will be recruited from intermediate-long term inpatient departments where patients typically have schizophrenia spectrum disorders and are admitted for longer periods. There are thus unique possibilities for coordinated efforts to motivate for and change dysfunctional habits.

Conditions

Schizophrenia; Bipolar Disorder; Inpatient Facility Diagnoses; Cardiovascular Risk Factor

Outcome Measures

Primary Outcomes (1)

• Change from Baseline Level of Physical Activity at 6 months

  Level of physical activity is assessed by the product of the answers to the questions of frequency (range1-5), intensity (range 1-3) and duration (range 1-4) of physical activity in the Health Survey of Northern Trondelag (HUNT) questionnaire, creating a physical activity index (PA-index). A higher score indicates higher levels of activity. Total range for the PA-index is 3-60.

  At baseline and at 6 months follow-up

Secondary Outcomes (20)

• Change from Baseline Level of Self-esteem at 6 months

  At baseline and at 6 months follow-up

• Change from Baseline Level of Motivation at 6 months

  At baseline and at 6 months follow-up

• Change from Baseline BMI at 6 months

  At baseline and at 6 months follow-up

• Change from Baseline Life Satisfaction at 6 months

  At baseline and at 6 months follow-up

• Change from Baseline Level of Psychotic Symptoms at 6 months

  At baseline and at 6 months follow-up

Interventions

Motivational interviewing and environmental interventions BEHAVIORAL

* Revision of ward routines towards facilitating physical activity in patients and motivational work by staff * Education of staff with certified MI-expert organized as an intensive course and follow-up guidance. The first course held shortly before start of interventions, the rest arranged within a month * Training equipment * Motivational Interviewing (MI) techniques applied by staff * Weekly treatment plans including physical activity which may consist of any continuous physical exercise.

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Inpatients at closed-door wards at the psychiatric departments at Gaustad and Dikemark of the Oslo University Hospital and at the Skjelfoss Psychiatric center in Hobøl.

You may qualify if:

• Inpatients at the psychiatric departments of Oslo University Hospital or at the Skjelfoss Psychiatric center
• DSM-IV diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, psychotic disorder not otherwise specified (NOS), bipolar I disorder or bipolar disorder NOS and/or current use of antipsychotic medication
• Informed consent to participation

You may not qualify if:

• Pronounced cognitive deficit (IQ \< 70)
• Severe brain damage
• BMI\<17.5
• Inability to speak Scandinavian or English
• Inability to give informed consent.

Sponsors & Collaborators

• Oslo University Hospital: lead
• Norwegian Centre for Mental Disorders Research (NORMENT): collaborator

Study Sites (2)

Skjelfoss Psychiatric Centre

Hobøl, 1827, Norway

Location

Oslo University Hospital

Oslo, 0450, Norway

Location

Related Publications (1)

• Ringen PA, Falk RS, Antonsen B, Faerden A, Mamen A, Rognli EB, Solberg DK, Martinsen EW, Andreassen OA. Using motivational techniques to reduce cardiometabolic risk factors in long term psychiatric inpatients: a naturalistic interventional study. BMC Psychiatry. 2018 Aug 15;18(1):255. doi: 10.1186/s12888-018-1832-6.

  PMID: 30111298 DERIVED

MeSH Terms

Conditions

Schizophrenia; Bipolar Disorder

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Bipolar and Related Disorders; Mood Disorders

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Petter Andreas Ringen, MD, PhD

  Oslo University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief Consultant

Study Record Dates

• First Submitted: April 24, 2018
• First Posted: May 17, 2018
• Study Start: January 23, 2013
• Primary Completion: March 10, 2015
• Study Completion: March 10, 2015
• Last Updated: May 17, 2018

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will not share

Locations

NO (2)