Identification of relevant mental health indicators for European community-based health enhancing physical activity initiatives: An adapted Delphi study

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-10-01 DOI:10.1016/j.mhpa.2024.100638

Aisling McGrath , Evan Matthews , Niamh Murphy , Ilse Oostveen , Annemarie Wagemakers , Kirsten Verkooijen

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Abstract

Health enhancing physical activity (HEPA) initiatives can improve mental health; however there is a lack of standardised measures to evaluate mental health impact. This study aimed to identify the relevant indicators of mental health and well-being in community-based HEPA initiatives in Europe as determined by specialists and practitioners in the field, and understand assessment methods commonly used.

An adapted, two round, Delphi method was conducted with N = 20 specialists (practitioners and academics) in the field of mental health and physical activity from Denmark, the Netherlands, the UK, and Ireland. Specialists selected the most important indicators and agreed consensus on definitions and operationalisation, where consensus ≥50% signified important indicators.

Specialists compiled 66 (n = 21 outcome, n = 45 determinant) indicators. Top rated indicators for the evaluation of HEPA initiatives were self-rated mental health (69.2%), physical activity (69.2%) life satisfaction (53.8%), stress (53.8%), loneliness (53.8%), social participation, network, connection and support (53.8%). Consensus on definition and application of the nine indicators varied (44.4%–100%), with no consensus on a standardised measurement tool reached, although specialists pointed to the need for culturally sensitive measurement tools.

While this study highlights a lack of conformity for evaluating mental health and wellbeing outcomes, it suggests utility in an agreed definition and application of nine indicators for the evaluation of HEPA initiatives, with social determinants of particularly high importance across the relevant contexts. Further research is recommended to develop guidance on pragmatic measurement tools that can be utilised across other (European) countries and their implementation tested.

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为欧洲以社区为基础的健康促进体育活动倡议确定相关的心理健康指标：经调整的德尔菲研究

增进健康的体育活动（HEPA）计划可以改善心理健康；但目前还缺乏评估心理健康影响的标准化措施。这项研究的目的是确定由该领域的专家和从业人员确定的欧洲基于社区的 HEPA 活动中心理健康和幸福感的相关指标，并了解常用的评估方法。来自丹麦、荷兰、英国和爱尔兰的心理健康和体育活动领域的 N = 20 名专家（从业人员和学者）采用了经过调整的两轮德尔菲法。专家们选出了最重要的指标，并就定义和可操作性达成了共识，其中共识度≥50%的指标为重要指标。专家们编制了 66 个指标（结果指标 21 个，决定性指标 45 个）。在评估 HEPA 行动时，得分最高的指标是自评心理健康（69.2%）、体育活动（69.2%）、生活满意度（53.8%）、压力（53.8%）、孤独（53.8%）、社会参与、网络、联系和支持（53.8%）。虽然这项研究强调了在评估心理健康和幸福结果方面缺乏一致性，但它表明，在评估 HEPA 行动时，对九个指标的定义和应用达成一致是有用的，社会决定因素在相关背景下具有特别重要的意义。建议开展进一步研究，以制定可在其他（欧洲）国家使用的实用衡量工具指南，并对其实施情况进行测试。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;