A 10-hours workshop improves physical activity prescription for mental illness knowledge and confidence in health care professionals: a nation-wide multicentre study from Uganda

References

• Whiteford HA, Degenhardt L, Rehm J, et al. Global burden of disease attributable to mental and substance use disorders: findings from the global burden of disease study 2010. The Lancet. 2013;382(9904):1575–1586.
   PubMed Web of Science ®Google Scholar
• Hjorthøj C, Stürup AE, McGrath JJ, et al. Years of potential life lost and life expectancy in schizophrenia: a systematic review and meta-analysis. Lancet Psychiatry. 2017;4(4):295–301.
   PubMed Web of Science ®Google Scholar
• Lund C, Alem A, Schneider M, et al. Generating evidence to narrow the treatment gap for mental disorders in Sub-Saharan africa: rationale, overview and methods of AFFIRM. Epidemiol Psychiatr Sci. 2015;24(3):233–240.
   PubMed Web of Science ®Google Scholar
• Hanlon C, Semrau M, Alem A, et al. Evaluating capacity-building for mental health system strengthening in low- and middle-income countries for service users and caregivers, service planners and researchers. Epidemiol Psychiatr Sci. 2018;27(1):3–10.
   PubMed Web of Science ®Google Scholar
• Petersen I, Marais D, Abdulmalik J, et al. Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia: challenges, needs and potential strategies. Health Policy Plan. 2017;32(5):699–709.
   PubMed Web of Science ®Google Scholar
• Stubbs B, Vancampfort D, Hallgren M, et al. EPA guidance on physical activity as a treatment for severe mental illness: a meta-review of the evidence and position statement from the European Psychiatric Association (EPA), supported by the International Organization of Physical Therapists in Mental Health (IOPTMH). Eur Psychiatry. 2018;54:124–144.
   PubMed Web of Science ®Google Scholar
• Firth J, Siddiqi N, Koyanagi A, et al. The lancet psychiatry commission: a blueprint for protecting physical health in people with mental illness. Lancet Psychiatry. 2019;6(8):675–712.
   PubMed Web of Science ®Google Scholar
• Ashdown-Franks G, Firth J, Carney R, et al. Exercise as medicine for mental and substance use disorders: a meta-review of the benefits for neuropsychiatric and cognitive outcomes. Sports Med. 2020;50(1):151–120.
   PubMed Web of Science ®Google Scholar
• Schuch F, Vancampfort D, Richards J, et al. Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J Psychiatr Res. 2016;77:42–51.
   PubMed Web of Science ®Google Scholar
• Schuch FB, Vancampfort D, Rosenbaum S, et al. Exercise for depression in older adults: a meta-analysis of randomized controlled trials adjusting for publication bias. Braz J Psychiatry. 2016;38(3):247–254.
   PubMed Web of Science ®Google Scholar
• Rosenbaum S, Vancampfort D, Steel Z, et al. Physical activity in the treatment of post-traumatic stress disorder: a systematic review and meta-analysis. Psychiatry Res. 2015;230(2):130–136.
   PubMed Web of Science ®Google Scholar
• Stubbs B, Vancampfort D, Rosenbaum S, et al. An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: a meta-analysis. Psychiatry Res. 2017;249:102–108.
   PubMed Web of Science ®Google Scholar
• Firth J, Cotter J, Elliott R, et al. A systematic review and meta-analysis of exercise interventions in schizophrenia patients. Psychol Med. 2015;45(7):1343–1361.
   PubMed Web of Science ®Google Scholar
• Hallgren M, Vancampfort D, Giesen ES, et al. Exercise as treatment for alcohol use disorders: systematic review and meta-analysis. Br J Sports Med. 2017;51(14):1058–1064.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Stubbs B, De Hert M, et al. A systematic review of physical activity policy recommendations and interventions for people with mental health problems in Sub-Saharan african countries. Pan Afr Med J. 2017;26:104.
   PubMedGoogle Scholar
• Mugisha J, Ssebunnya J, Kigozi FN. Towards understanding governance issues in integration of mental health into primary health care in Uganda. Int J Ment Health Syst. 2016;10(1):25.
   PubMedGoogle Scholar
• Stubbs B, Probst M, Soundy A, et al. Physiotherapists can help implement physical activity programmes in clinical practice. Br J Psychiatry. 2014;204(2):164.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Rosenbaum S, Schuch FB, et al. Prevalence and predictors of treatment dropout from physical activity interventions in schizophrenia: a meta-analysis. Gen Hosp Psychiatry. 2016;39:15–23.
   PubMed Web of Science ®Google Scholar
• Stubbs B, Vancampfort D, Rosenbaum S, et al. Dropout from exercise randomized controlled trials among people with depression: a meta-analysis and meta regression. J Affect Disord. 2016;190:457–466.
   PubMed Web of Science ®Google Scholar
• Lederman O, Grainger K, Stanton R, et al. Consensus statement on the role of accredited exercise physiologists within the treatment of mental disorders: a guide for mental health professionals. Australas Psychiatry. 2016;24(4):347–351.
   PubMed Web of Science ®Google Scholar
• Mugisha J, De Hert M, Knizek BL, et al. Health care professionals’ perspectives on physical activity within the ugandan mental health care system. Mental Health Phys Act. 2019;16:1–7.
   Web of Science ®Google Scholar
• Vancampfort D, Stanton R, Probst M, et al. A quantitative assessment of the views of mental health professionals on exercise for people with mental illness: perspectives from a low-resource setting. Afr Health Sci. 2019;19(2):2172–2182.
   PubMed Web of Science ®Google Scholar
• Kigozi F, Ssebunnya J, Kizza D, et al. An overview of Uganda’s mental health care system: results from an assessment using the World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS). Int J Ment Health Syst. 2010;4(1):1.
   PubMedGoogle Scholar
• Weaver MR, Crozier I, Eleku S, et al. Capacity-building and clinical competence in infectious disease in Uganda: a mixed-design study with pre/post and cluster-randomized trial components. PLoS One. 2012;7(12):e51319.
   PubMed Web of Science ®Google Scholar
• Probst M. The international organization of physical therapists working in mental health (IOPTMH). Mental Health Phys Act. 2012;5(1):20–21.
   Google Scholar
• Stanton R, Happell B, Reaburn P. The development of a questionnaire to investigate the views of health professionals regarding exercise for the treatment of mental illness. Mental Health Phys Act. 2014;7(3):177–182.
   Web of Science ®Google Scholar
• Carroll JK, Fiscella K, Epstein RM, et al. A 5A’s communication intervention to promote physical activity in underserved populations. BMC Health Serv Res. 2012;12(1):374.
   PubMed Web of Science ®Google Scholar
• Miller WR, Rollnick S. Motivational interviewing: helping people change. New York (NY): Guilford press; 2012.
   Google Scholar
• Deci EL, Ryan RM. The “what” and “why” of goal pursuits: human needs and the self-determination of behavior. Psychological Inquiry. 2000;11(4):227–268.
   Web of Science ®Google Scholar
• Mugisha J, Hanlon C, Knizek BL, et al. The experience of mental health service users in health system strengthening: lessons from Uganda. Int J Ment Health Syst. 2019;13(1):60.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Basangwa D, Kimbowa S, et al. Test–retest reliability, validity, and correlates of the 2‐min walk test in outpatients with depression. Physiother Res Int. 2020;25(2):e1821.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Basangwa D, Nabanoba J, et al. Motives for physical activity in the adoption and maintenance of physical activity in middle-aged and old age outpatients with a mental disorder: a cross-sectional study from a low-income country. Psychiatry Res. 2019;282:112620.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Byansi P, Kinyanda E, et al. Associations between physical inactivity, major depressive disorder, and alcohol use disorder in people living with HIV in a Ugandan fishing community. Int J STD Aids. 2019;30(12):1177–1184.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Byansi P, Namutebi H, et al. The efficacy of physical activity counseling in Ugandan patients with HIV and a co-morbid mental disorder: a pilot study. AIDS Care. 2020;32(6):758–754.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, De Hert M, Probst M, et al. Interest, competence, appearance, fitness and social relatedness as motives for physical activity in Ugandan outpatients with psychosis. Mental Health Phys Act. 2017;13:94–99.
   Web of Science ®Google Scholar
• Vancampfort D, Kimbowa S, Basangwa D, et al. Test-retest reliability, concurrent validity and correlates of the two-minute walk test in outpatients with psychosis. Psychiatry Res. 2019;282:112619.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Probst M, Basangwa D, et al. Adherence to physical activity recommendations and physical and mental health risk in people with severe mental illness in Uganda. Psychiatry Res. 2018;260:236–240.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Probst M, Firth J, et al. Gender differences in motives for physical activity across the stages of change in Ugandan outpatients with psychosis. Schizophr Res. 2018;197:568–569.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Probst M, Rosenbaum S, et al. Sedentary behavior and quality of life in people with psychotic disorders from a low income country: a study from Uganda. Community Ment Health J. 2019;55(4):714–720.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Stubbs B, Sallis JF, et al. Associations of the built environment with physical activity and sedentary time in Ugandan outpatients with mental health problems. J Phys Act Health. 2019;16(4):243–250.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Van Damme T, Probst M, et al. Physical activity is associated with the physical, psychological, social and environmental quality of life in people with mental health problems in a low resource setting. Psychiatry Res. 2017;258:250–254.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Watkins A, Ward PB, et al. Barriers, attitudes, confidence, and knowledge of nurses regarding metabolic health screening and intervention in people with mental illness: a pilot study from Uganda. Afr Health Sci. 2019;19(3):2546–2554.
   PubMed Web of Science ®Google Scholar
• Cohen J. Statistical power analysis for the behavioral sciences. New York (NY): Lawrence Erlbaum; 1988.
   Google Scholar
• Stanton R, Reaburn P, Happell B. Barriers to exercise prescription and participation in people with mental illness: the perspectives of nurses working in mental health. J Psychiatr Ment Health Nurs. 2015;22(6):440–448.
   PubMed Web of Science ®Google Scholar
• Royal KD, Ellis A, Ensslen A, et al. Rating scale optimization in survey research: an application of the Rasch Rating Scale Model. J Appl Quant Meth. 2010;5(4):607–617.
   Google Scholar
• Organization WH. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: Mental Health Gap Action Programme (mhGAP). Geneva (Switzerland): World Health Organization; 2016.
   Google Scholar
• Keynejad RC, Dua T, Barbui C, et al. WHO mental health gap action programme (mhGAP) intervention guide: a systematic review of evidence from low and middle-income countries. Evid Based Ment Health. 2018;21(1):30–34.
   PubMed Web of Science ®Google Scholar
• Firth J, Solmi M, Wootton RE, et al. A meta‐review of “lifestyle psychiatry”: the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders. World Psychiatry. 2020;19(3):360–380.
   PubMed Web of Science ®Google Scholar
• Vancampfort D, Byansi PK, Namutebi H, et al. The efficacy of a lay health workers–led physical activity counselling program in patients with HIV and mental health problems: a real-world intervention from Uganda. AIDS Care. 2021;33(9):1189–1187.
   PubMed Web of Science ®Google Scholar
• de Jesus MJ, Razzouk D, Thara R, et al. Packages of care for schizophrenia in low- and middle-income countries. PLoS Med. 2009;6(10):e1000165.
   PubMed Web of Science ®Google Scholar
• Mugisha J. Towards understanding the dilemmas in prevention of mental illness in Uganda. Lewiston (NY): The Edwin Mellen Press; 2016.
   Google Scholar
• Mugisha J, Abdulmalik J, Hanlon C, et al. Health systems context(s) for integrating mental health into primary health care in six Emerald countries: a situation analysis. Int J Ment Health Syst. 2017;11(1):7–13.
   PubMedGoogle Scholar
• Carroll JK, Antognoli E, Flocke SA. Evaluation of physical activity counseling in primary care using direct observation of the 5As. Ann Fam Med. 2011;9(5):416–422.
   PubMed Web of Science ®Google Scholar