Abstract

Background

Interventions that promote exercise and a healthy diet can improve quality of life and may promote recovery for people with mental health issues. The aim of this study was to evaluate a community-based lifestyle program for adults with mental health issues to inform the design of such interventions, and assess its impact on quality of life and recovery.

Methods

Mixed methods were used to evaluate 8-week interventions involving weekly group gym-based exercise sessions and nutritional education. Programs were delivered by personal trainers and chefs at a charitable community organization. Acceptability was evaluated using qualitative focus groups and procedural statistics (rates of referral, attendance, and withdrawal). Primary outcomes were quality of life and recovery assessed at baseline and post-intervention; other outcomes included metabolic indicators (weight, waist, blood pressure and fasting glucose, cholesterol, triglycerides) and functional capacity (walk test).

Results

Of the 100 adults referred, 58 began the program and 38 (66%) completed, attending a median of 75% of sessions. Participants indicated that their appraisal of the program environment (related to venue, social group, and staff), and the realization of benefits, were essential to their experiences with the program. Quality of life (mental health, coping, relationships, senses and self-worth), and recovery (hope) significantly improved.

Conclusion

Exercise and nutrition interventions have diverse benefits for quality of life and recovery. Programs should be implemented within contexts that promote positive experiences and inclusive social environments to foster self-worth, personal confidence and hope. Recovery-oriented lifestyle interventions should be utilized routinely in mental health care.

中文翻译：

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使用运动和营养干预促进有心理健康问题的成年人的生活质量和康复

摘要

背景

促进锻炼和健康饮食的干预措施可以改善生活质量，并可能促进有心理健康问题的人康复。本研究的目的是评估针对有心理健康问题的成年人的基于社区的生活方式计划，以为此类干预措施的设计提供信息，并评估其对生活质量和康复的影响。

方法

混合方法用于评估为期 8 周的干预措施，包括每周一次的集体健身房锻炼和营养教育。课程由慈善社区组织的私人教练和厨师提供。使用定性焦点小组和程序统计（转诊率、出勤率和退出率）评估可接受性。主要结果是在基线和干预后评估的生活质量和恢复情况；其他结果包括代谢指标（体重、腰围、血压和空腹血糖、胆固醇、甘油三酯）和功能能力（步行测试）。

结果

在被推荐的 100 名成年人中，58 人开始了该计划，38 人 (66%) 完成了计划，参加了中位数 75% 的课程。参与者表示，他们对项目环境（与场地、社会团体和员工相关）的评价以及收益的实现对于他们的项目体验至关重要。生活质量（心理健康、应对、人际关系、感官和自我价值）和康复（希望）得到显着改善。

结论

运动和营养干预对生活质量和康复有多种益处。项目应在促进积极体验和包容性社会环境的背景下实施，以培养自我价值、个人信心和希望。精神卫生保健中应常规采用以康复为导向的生活方式干预措施。