Barriers to and facilitators of physical activity among persons with schizophrenia: a survey of physical therapists

Psychiatr Serv. 2014 May 1;65(5):693-6. doi: 10.1176/appi.ps.201300276.

Abstract

Objective: This study examined the experience, perceptions, and knowledge of physical therapists who work within mental health services regarding barriers to and facilitators of physical activity among people with schizophrenia.

Methods: A total of 151 physical therapists, members of the International Organization of Physical Therapists in Mental Health, completed an online survey. Data-driven and concept driven content analysis was conducted with the responses.

Results: The most frequently cited barriers were patients' lack of motivation (45% of respondents) and a lack of priority given to physical activity by other health care professionals (28%). The most frequently cited facilitators included the provision of esteem support by health care professionals (28%) and the promotion of enjoyment and autonomy for the patient (25%).

Conclusions: When promoting physical activity among individuals with schizophrenia, health care professionals who work in mental health settings should provide an individual approach, taking into account patient related and situational factors.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Exercise*
  • Female
  • Health Care Surveys
  • Health Promotion / methods
  • Humans
  • Male
  • Middle Aged
  • Motivation*
  • Patient Compliance*
  • Physical Therapists*
  • Schizophrenia*
  • Schizophrenic Psychology