Patient educationIncreasing physical activity in patients with mental illness—A randomized controlled trial
Section snippets
Introduction: Background and objectives
In 2010, more than one-third (38.2%) of all residents of the European Union suffered from a clinically significant mental disorder [1]. The most common disorders named were anxiety disorders, unipolar depression, insomnia, and somatoform disorders. People with severe mental disorders often suffer from chronic medical conditions such as diabetes, heart disease, or other chronic conditions [2]. Reasons for these conditions, among genetics and medication, are seen in higher prevalence of smoking,
Design and participants
Participants were randomized in a controlled, parallel-group study comparing the effects of standard rehabilitation (control group, CG) versus standard rehabilitation plus ‘MoVo–Luise’ intervention (intervention group, IG; MoVo refers to the theoretical background of the Motivation Volition process model, Luise refers to the name of the study hospital) between November 2011 and September 2012. The study was approved by the ethical committee of the Freiburg University Medical Center, Germany
Results
As depicted in Fig. 1, n = 735 persons were assessed for eligibility, and n = 112 persons participated in the randomization procedure (intent-to-treat-sample). n = 36 persons could be included in the CG and n = 29 persons could be included in the IG. Dropout analyses revealed no significant differences between the intent-to-treat sample and t1–t4-dropouts on all variables. Table 1 shows baseline demographics and clinical characteristics for each group.
Analyses of variance yielded a significant
Discussion
The purpose of this study was to evaluate the effects of MoVo–Luise on patients with mental disorders, an intervention based on the MoVo process model [18]. The main features of the intervention have already been proven in settings with orthopedic rehabilitation as well as with obese patients [18], [22], [32].
As expected, the results of the analyses suggest that the MoVo–Luise intervention was effective at increasing the level of physical activity in patients with mental disorders who were
Conflict of interest statement
The second author is employed as a psychologist at the study clinic.
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