Physical activity following discharge from inpatient adult mental health settings: Interest-holder perspectives

Background

The transition from inpatient mental health care to the community is a period where individuals frequently face challenges that can hinder their recovery. Physical activity (PA) offers numerous benefits for mental health, yet little is known about PA engagement during this transition.

Aims

This study aimed to explore interest-holder perspectives on PA following discharge from inpatient adult mental health settings, informing the development of effective interventions.

Methods

A qualitative approach using reflexive thematic analysis was employed. Six focus groups were conducted across two NHS mental health trusts in England, involving 34 participants: 14 individuals with lived experience (LEXP) of mental health services and 20 staff members. A topic guide, co-developed by peer researchers and clinicians, facilitated discussions including ideas for post-discharge PA provision. Focus groups were audio-recorded, transcribed, and analysed collaboratively by clinical and peer researchers.

Results

Key themes regarding barriers to PA following discharge included patient-related challenges (socioeconomic pressures, social isolation), acute ward-related obstacles, and community setting limitations. Both LEXP and staff participants highlighted the impact of socioeconomic factors on social inclusion and motivation. Social isolation was a significant barrier identified by LEXP participants.

Conclusions

This study demonstrates the need for tailored PA interventions that address the complex barriers faced by individuals transitioning from inpatient mental health care to community settings. Interest-holder contribution is crucial for designing programmes that can promote sustained engagement in PA post-discharge, improving patient outcomes. Future practice should consider socioeconomic factors, address social isolation, and ensure continuity of support from inpatient to community care.