Healthcare Practitioners’ Perceptions of the Barriers to Prescribing or Promoting Exercise in the Treatment of People with Mental Illness: A Scoping Review

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Kate Kelly, Andrew Moloney, Gideon de Jong, Richard Lakeman
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Abstract

Contemporary healthcare for those experiencing mental illness requires healthcare practitioners (HCPs) to effectively incorporate the prescription of exercise in their treatment, in accordance with clinical guidelines. However, there has been a lack of effective implementation of such recommendations. The purpose of this review was to identify barriers to exercise prescription in the treatment of people diagnosed with mental illness as perceived by HCPs. APA PsycINFO, CINAHL, MEDLINE, and PubMed electronic databases were searched for relevant articles published in the period from January 2005 to September 2023. A total of 18 papers were included for thematic synthesis. Four key themes were identified across the qualitative (8), quantitative (6), and mixed method (4) papers, including a lack of knowledge and confidence of HCPs in prescribing exercise; role and responsibility; HCPs’ misconceptions of client barriers; and systemic issues impacting exercise prescription practices. A lack of knowledge or confidence was the most common barrier. Some HCPs indicated a desire to develop their skills in exercise prescription, while others indicated a preference for an exercise professional to take responsibility for this aspect of treatment. Systemic barriers were spread across a range of issues, with lack of time, excessive workload, and difficulties accessing qualified staff most commonly cited. This review provides further insight into the barriers to exercise prescription faced by HCPs and makes recommendations regarding how to address these barriers in order to better implement clinical guidelines and thus improve the quality of treatment provided to people diagnosed with a mental illness.

Abstract Image

医护人员对在治疗精神病患者时开具运动处方或推广运动的障碍的看法:范围审查
当代精神疾病患者的医疗保健要求医护人员(HCPs)根据临床指南,有效地将运动处方纳入治疗中。然而,这些建议一直缺乏有效的实施。本综述旨在找出医护人员在治疗精神疾病患者时开具运动处方的障碍。我们在 APA PsycINFO、CINAHL、MEDLINE 和 PubMed 电子数据库中检索了 2005 年 1 月至 2023 年 9 月期间发表的相关文章。共纳入了 18 篇论文进行专题综合。在定性方法(8 篇)、定量方法(6 篇)和混合方法(4 篇)论文中确定了四个关键主题,包括保健医生在开具运动处方方面缺乏知识和信心;角色和责任;保健医生对客户障碍的误解;以及影响运动处方实践的系统性问题。缺乏知识或信心是最常见的障碍。一些保健医生表示希望发展自己的运动处方技能,而其他保健医生则表示希望由运动专业人员负责这方面的治疗。系统性障碍涉及一系列问题,其中最常提到的是缺乏时间、工作量过大以及难以获得合格的工作人员。这篇综述进一步揭示了高级保健医生在开具运动处方时所面临的障碍,并就如何解决这些障碍提出了建议,以便更好地执行临床指南,从而提高为精神疾病患者提供的治疗质量。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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