Objective

The physical activity (PA) sector has an important role to play within the treatment of mental illness (MI). This review aims to summarize the literature examining healthcare professionals’ (HCPs) perceptions related to the PA sector to: 1) develop an understanding of the potential factors influencing collaboration with the PA sector in the promotion of PA for MI; and 2) identify gaps and areas for further research.

Methods

A structured search of PsycInfo, PubMed, CINAHL, and SPORTDiscus using terms related to key concepts such as ‘mental illness’, ‘health professional’, and ‘physical activity’ was performed up until February 24, 2020. Studies were included if they contained empirical findings describing HCPs' perceptions related to the PA sector within the context of PA promotion for MI. Documents were coded by six reviewers for study characteristics, design, professional, mental health condition, and findings.

Results

Fifty-one documents were included. Attitudes and beliefs were mainly positive with respect to PA sector involvement in the treatment of MI. Other HCPs have expressed an interest in collaboration with PA professionals and existing collaborative efforts have generally been viewed as benefitting other HCPs and individuals with MI; however, limitations in the findings preclude definitive claims. Some doubts about the value of collaborative efforts and tensions in role delineation were noted. Some HCPs were unclear about the role and scope of practice of PA professionals, lacked knowledge about existing referral options, expressed confusion about referral criteria and processes, and described uncertainty or limitations regarding PA professionals' training and experience with MI. Findings were limited and equivocal on the point of PA professionals' competencies to promote PA for MI and sparse research has considered views regarding PA professionals’ curriculum. Collaborative practices were uncommon, and few studies examined correlates or determinants of collaboration.

Conclusion

The literature examining health professionals' views of collaboration with the PA sector in mental health contexts is limited. While this review identified several issues consistent with the broader literature examining collaborative practice, there remains a need for focused inquiry into barriers, correlates, and determinants using established behavioural theories and models of collaboration. The development of future curriculum targeting PA professionals’ mental health competencies could benefit from a multidisciplinary perspective.

中文翻译：

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精神疾病治疗中的体育活动部门：对医疗保健专业人员的看法的范围回顾

目的

体育活动（PA）部门在精神疾病（MI）的治疗中起着重要作用。这篇综述的目的是总结研究卫生保健专业人员对与PA行业相关的看法的文献，以：1）了解影响与PA行业合作促进MI的PA的潜在因素；2）确定差距和需要进一步研究的领域。

方法

一直到2020年2月24日，才对PsycInfo，PubMed，CINAHL和SPORTDiscus使用与关键概念有关的术语进行结构化搜索，这些术语涉及“精神疾病”，“卫生专业人员”和“身体活动”。如果包含以下内容，则将其包括在内经验发现描述了在CP促进MI的背景下，HCP对PA部门的看法。六名审稿人对文件进行了编码，包括研究特征，设计，专业，心理健康状况和发现。

结果

其中包括五十一个文件。对于巴勒斯坦权力机构部门参与心梗的治疗，态度和信念主要是积极的。其他HCP表示有兴趣与PA专业人员合作，并且现有的合作努力通常被视为使其他HCP和MI患者受益；但是，调查结果的局限性排除了明确的主张。有人对协作努力的价值和角色划分中的紧张关系表示怀疑。一些HCP不清楚PA专业人士的作用和实践范围，缺乏对现有转诊选择的知识，对转诊标准和流程表示困惑，并描述了PA专业人士的培训和MI经验的不确定性或局限性。关于公共广播专业人士促进公共广播为MI和稀疏研究的能力，研究结果是有限的且模棱两可的，已经考虑了有关公共广播专业人士课程的观点。协作实践并不常见，很少有研究检查协作的相关性或决定性因素。

结论

审查卫生专业人员在精神卫生方面与PA行业合作的观点的文献有限。虽然本次审查发现了与更广泛的文献研究协作实践相一致的问题，但仍然需要使用已建立的行为理论和协作模型来重点研究障碍，相关因素和决定因素。面向PA专业人员心理健康能力的未来课程的开发可以从多学科的角度受益。