Background: Unhealthy lifestyle behaviours contribute to the poor physical health experienced by people with severe mental illness (SMI). Severe mental illness symptoms and the medications used in treatment make adopting a healthy lifestyle challenging. Intervention: Well-Track uses a wearable activity tracker and three sessions with a health coach to promote healthy lifestyle behaviour change. The tracker allows physical activity, sleep and calorie expenditure to be monitored. The coach provides personalised support and accountability through motivational interviewing, goal-setting, healthy lifestyle advice and feedback. Participants: Fifteen participants under the care of a community mental health team (CMHT) were interviewed following their completion of the intervention. They comprised 7 females, 7 males and 1 non-binary, with an age range of 21 to 62 years. Methods: Individual in-depth one-to-one interviews were conducted. The qualitative data collected were analysed using thematic analysis. Results: Participants benefitted from the combination of the activity tracker and health coaching. By setting personalised goals, monitored by the tracker and supported by the health coach, individuals increased physical activity and improved their sleep hygiene and eating habits. Participants described enhanced physical fitness and healthy weight management alongside improvements in mood, self-confidence, positive self-identity and reduced social isolation. Conclusion: Well-Track can enable healthy lifestyle changes to improve the physical and mental health and well-being of people with SMI.
References
[1]
Maj, M. (2009) Physical Health Care in Persons with Severe Mental Illness: A Public Health and Ethical Priority. World Psychiatry, 8, 1-2. https://doi.org/10.1002/j.2051-5545.2009.tb00196.x
[2]
Daumit, G.L., Dalcin, A.T., Dickerson, F.B., Miller, E.R., Evins, A.E., Cather, C., et al. (2020) Effect of a Comprehensive Cardiovascular Risk Reduction Intervention in Persons with Serious Mental Illness: A Randomized Clinical Trial. JAMA Network Open, 3, e207247. https://doi.org/10.1001/jamanetworkopen.2020.7247
[3]
Laursen, T.M., Munk-Olsen, T. and Vestergaard, M. (2012) Life Expectancy and Cardiovascular Mortality in Persons with Schizophrenia. Current Opinion in Psychiatry, 25, 83-88. https://doi.org/10.1097/yco.0b013e32835035ca
[4]
Luppino, F.S., de Wit, L.M., Bouvy, P.F., Stijnen, T., Cuijpers, P., Penninx, B.W.J.H., et al. (2010) Overweight, Obesity, and Depression: A Systematic Review and Meta-Analysis of Longitudinal Studies. Archives of General Psychiatry, 67, 220-229. https://doi.org/10.1001/archgenpsychiatry.2010.2
[5]
Hjorthøj, C., Stürup, A.E., McGrath, J.J. and Nordentoft, M. (2017) Years of Potential Life Lost and Life Expectancy in Schizophrenia: A Systematic Review and Meta-Analysis. The Lancet Psychiatry, 4, 295-301. https://doi.org/10.1016/s2215-0366(17)30078-0
[6]
Walker, E.R., McGee, R.E. and Druss, B.G. (2015) Mortality in Mental Disorders and Global Disease Burden Implications: A Systematic Review and Meta-Analysis. JAMA Psychiatry, 72, 334-341. https://doi.org/10.1001/jamapsychiatry.2014.2502
[7]
Nielsen, R.E., Uggerby, A.S., Jensen, S.O.W. and McGrath, J.J. (2013) Increasing Mortality Gap for Patients Diagnosed with Schizophrenia over the Last Three Decades—A Danish Nationwide Study from 1980 to 2010. Schizophrenia Research, 146, 22-27. https://doi.org/10.1016/j.schres.2013.02.025
[8]
Robson, D. and Gray, R. (2007) Serious Mental Illness and Physical Health Problems: A Discussion Paper. International Journal of Nursing Studies, 44, 457-466. https://doi.org/10.1016/j.ijnurstu.2006.07.013
[9]
Scott, D. and Happell, B. (2011) The High Prevalence of Poor Physical Health and Unhealthy Lifestyle Behaviours in Individuals with Severe Mental Illness. Issues in Mental Health Nursing, 32, 589-597. https://doi.org/10.3109/01612840.2011.569846
[10]
Stanley, S. and Laugharne, J. (2013) The Impact of Lifestyle Factors on the Physical Health of People with a Mental Illness: A Brief Review. International Journal of Behavioral Medicine, 21, 275-281. https://doi.org/10.1007/s12529-013-9298-x
[11]
Ayers, N., McCall, W.V. and Miller, B.J. (2023) Sleep Problems, Suicidal Ideation, and Psychopathology in First-Episode Psychosis. Schizophrenia Bulletin, 50, 286-294. https://doi.org/10.1093/schbul/sbad045
[12]
Schuch, F., Vancampfort, D., Firth, J., Rosenbaum, S., Ward, P., Reichert, T., et al. (2017) Physical Activity and Sedentary Behavior in People with Major Depressive Disorder: A Systematic Review and Meta-Analysis. Journal of Affective Disorders, 210, 139-150. https://doi.org/10.1016/j.jad.2016.10.050
[13]
Smith, S., Yeomans, D., Bushe, C.J.P., Eriksson, C., Harrison, T., Holmes, R., et al. (2007) A Well-Being Programme in Severe Mental Illness. Baseline Findings in a UK Cohort. International Journal of Clinical Practice, 61, 1971-1978. https://doi.org/10.1111/j.1742-1241.2007.01605.x
[14]
Stubbs, B., Firth, J., Berry, A., Schuch, F.B., Rosenbaum, S., Gaughran, F., et al. (2016) How Much Physical Activity Do People with Schizophrenia Engage In? A Systematic Review, Comparative Meta-Analysis and Meta-Regression. Schizophrenia Research, 176, 431-440. https://doi.org/10.1016/j.schres.2016.05.017
[15]
Brown, S., Birtwistle, J., Roe, L. and Thompson, C. (1999) The Unhealthy Lifestyle of People with Schizophrenia. Psychological Medicine, 29, 697-701. https://doi.org/10.1017/s0033291798008186
[16]
Dipasquale, S., Pariante, C.M., Dazzan, P., Aguglia, E., McGuire, P. and Mondelli, V. (2013) The Dietary Pattern of Patients with Schizophrenia: A Systematic Review. Journal of Psychiatric Research, 47, 197-207. https://doi.org/10.1016/j.jpsychires.2012.10.005
[17]
Kilian, R., Becker, T., Krüger, K., Schmid, S. and Frasch, K. (2006) Health Behavior in Psychiatric In-Patients Compared with a German General Population Sample. Acta Psychiatrica Scandinavica, 114, 242-248. https://doi.org/10.1111/j.1600-0447.2006.00850.x
[18]
Mötteli, S., Provaznikova, B., Vetter, S., Jäger, M., Seifritz, E. and Hotzy, F. (2023) Examining Nutrition Knowledge, Skills, and Eating Behaviours in People with Severe Mental Illness: A Cross-Sectional Comparison among Psychiatric Inpatients, Outpatients, and Healthy Adults. Nutrients, 15, Article 2136. https://doi.org/10.3390/nu15092136
[19]
Osborn, D.P.J., Nazareth, I. and King, M.B. (2007) Physical Activity, Dietary Habits and Coronary Heart Disease Risk Factor Knowledge Amongst People with Severe Mental Illness. Social Psychiatry and Psychiatric Epidemiology, 42, 787-793. https://doi.org/10.1007/s00127-007-0247-3
[20]
Ryan, R.M. and Deci, E.L. (2017) Self-Determination Theory: Basic Psychological Needs in Motivation, Development, and Wellness. Guilford Press.
[21]
Holt, R.I.G. and Peveler, R.C. (2009) Obesity, Serious Mental Illness and Antipsychotic Drugs. Diabetes, Obesity and Metabolism, 11, 665-679. https://doi.org/10.1111/j.1463-1326.2009.01038.x
[22]
Risch, L., Hotzy, F., Vetter, S., Hiller, S., Wallimann, K., Seifritz, E., et al. (2022) Assessment of Nutritional Status and Risk of Malnutrition Using Adapted Standard Tools in Patients with Mental Illness and in Need of Intensive Psychiatric Treatment. International Journal of Environmental Research and Public Health, 20, Article 109. https://doi.org/10.3390/ijerph20010109
[23]
Hancox, L.E., Lee, P.S., Armaghanian, N., Hirani, V. and Wakefield, G. (2021) Nutrition Risk Screening Methods for Adults Living with Severe Mental Illness: A Scoping Review. Nutrition & Dietetics, 79, 349-363. https://doi.org/10.1111/1747-0080.12652
[24]
Kim, S.R., Kim, J.Y., Kim, H.Y., Nho, J., Kim, Y.H. and Min, S. (2018) Factors Related to Malnutrition in Community‐dwelling Patients with Schizophrenia. Perspectives in Psychiatric Care, 55, 415-423. https://doi.org/10.1111/ppc.12327
[25]
Teasdale, S.B., Samaras, K., Wade, T., Jarman, R. and Ward, P.B. (2017) A Review of the Nutritional Challenges Experienced by People Living with Severe Mental Illness: A Role for Dietitians in Addressing Physical Health Gaps. Journal of Human Nutrition and Dietetics, 30, 545-553. https://doi.org/10.1111/jhn.12473
[26]
Yum, S.Y., Caracci, G. and Hwang, M.Y. (2009) Schizophrenia and Eating Disorders. Psychiatric Clinics of North America, 32, 809-819. https://doi.org/10.1016/j.psc.2009.09.004
[27]
Carr, V.J., Whiteford, H., Groves, A., McGorry, P. and Shepherd, A.M. (2012) Policy and Service Development Implications of the Second Australian National Survey of High Impact Psychosis (Ship). Australian & New Zealand Journal of Psychiatry, 46, 708-718. https://doi.org/10.1177/0004867412446488
[28]
Howarth, N.E. and Miller, M.A. (2024) Sleep, Sleep Disorders, and Mental Health: A Narrative Review. Heart and Mind, 8, 146-158. https://doi.org/10.4103/hm.hm-d-24-00030
[29]
Stafford, A., Oduola, S. and Reeve, S. (2024) How Sleep in Patients with Serious Mental Illness Is Recorded and Treated, and Its Impact on Service Engagement. Sleep Medicine, 124, 58-69. https://doi.org/10.1016/j.sleep.2024.09.002
[30]
Wulff, K., Dijk, D., Middleton, B., Foster, R.G. and Joyce, E.M. (2012) Sleep and Circadian Rhythm Disruption in Schizophrenia. British Journal of Psychiatry, 200, 308-316. https://doi.org/10.1192/bjp.bp.111.096321
[31]
Chaput, J., McNeil, J., Després, J., Bouchard, C. and Tremblay, A. (2013) Short Sleep Duration as a Risk Factor for the Development of the Metabolic Syndrome in Adults. Preventive Medicine, 57, 872-877. https://doi.org/10.1016/j.ypmed.2013.09.022
[32]
Hargens, T., Kaleth, A.S., Edwards, E.S. and Butner, K.L. (2013) Association between Sleep Disorders, Obesity, and Exercise: A Review. Nature and Science of Sleep, 5, 27-35. https://doi.org/10.2147/nss.s34838
[33]
Ong, W.J., Tan, X.W., Shahwan, S., Satghare, P., Cetty, L., Ng, B.T., et al. (2020) Association between Sleep Quality and Domains of Quality of Life Amongst Patients with First Episode Psychosis. Health and Quality of Life Outcomes, 18, Article No. 114. https://doi.org/10.1186/s12955-020-01367-3
[34]
Blanchard, J.J., Savage, C.L.G., Orth, R.D., Jacome, A.M. and Bennett, M.E. (2020) Sleep Problems and Social Impairment in Psychosis: A Transdiagnostic Study Examining Multiple Social Domains. Frontiers in Psychiatry, 11, Article 486. https://doi.org/10.3389/fpsyt.2020.00486
[35]
Faulkner, S. and Bee, P. (2017) Experiences, Perspectives and Priorities of People with Schizophrenia Spectrum Disorders Regarding Sleep Disturbance and Its Treatment: A Qualitative Study. BMC Psychiatry, 17, Article No. 158. https://doi.org/10.1186/s12888-017-1329-8
[36]
Filik, R., Sipos, A., Kehoe, P.G., Burns, T., Cooper, S.J., Stevens, H., et al. (2006) The Cardiovascular and Respiratory Health of People with Schizophrenia. Acta Psychiatrica Scandinavica, 113, 298-305. https://doi.org/10.1111/j.1600-0447.2006.00768.x
[37]
de Leon, J. and Diaz, F.J. (2005) A Meta-Analysis of Worldwide Studies Demonstrates an Association between Schizophrenia and Tobacco Smoking Behaviors. Schizophrenia Research, 76, 135-157. https://doi.org/10.1016/j.schres.2005.02.010
[38]
Davidson, S., Judd, F., Jolley, D., Hocking, B., Thompson, S. and Hyland, B. (2001) Risk Factors for HIV/AIDS and Hepatitis C among the Chronic Mentally Ill. Australian & New Zealand Journal of Psychiatry, 35, 203-209. https://doi.org/10.1046/j.1440-1614.2001.00867.x
[39]
Ogloff, J.R.P., Lemphers, A. and Dwyer, C. (2004) Dual Diagnosis in an Australian Forensic Psychiatric Hospital: Prevalence and Implications for Services. Behavioral Sciences & the Law, 22, 543-562. https://doi.org/10.1002/bsl.604
[40]
Carney, R., Cotter, J., Bradshaw, T. and Yung, A.R. (2017) Examining the Physical Health and Lifestyle of Young People at Ultra-High Risk for Psychosis: A Qualitative Study Involving Service Users, Parents and Clinicians. Psychiatry Research, 255, 87-93. https://doi.org/10.1016/j.psychres.2017.05.023
[41]
Lee, S., Kim, G., Kim, C. and Ryu, S. (2018) Physical Activity of Patients with Chronic Schizophrenia and Related Clinical Factors. Psychiatry Investigation, 15, 811-817. https://doi.org/10.30773/pi.2018.04.15.1
[42]
Pearsall, R., Hughes, S., Geddes, J. and Pelosi, A. (2014) Understanding the Problems Developing a Healthy Living Programme in Patients with Serious Mental Illness: A Qualitative Study. BMC Psychiatry, 14, Article No. 38. https://doi.org/10.1186/1471-244x-14-38
[43]
Quirk, H., Hock, E., Harrop, D., Crank, H., Peckham, E., Traviss-Turner, G., et al. (2020) Understanding the Experience of Initiating Community-Based Group Physical Activity by People with Serious Mental Illness: A Systematic Review Using a Meta-Ethnographic Approach. European Psychiatry, 63, e95. https://doi.org/10.1192/j.eurpsy.2020.93
[44]
Rastad, C., Martin, C. and Åsenlöf, P. (2014) Barriers, Benefits, and Strategies for Physical Activity in Patients with Schizophrenia. Physical Therapy, 94, 1467-1479. https://doi.org/10.2522/ptj.20120443
[45]
Brooke, L.E., Gucciardi, D.F., Ntoumanis, N. and Lin, A. (2019) Qualitative Investigation of Perceived Barriers to and Enablers of Sport Participation for Young People with First Episode Psychosis. Early Intervention in Psychiatry, 14, 293-306. https://doi.org/10.1111/eip.12854
[46]
Daumit, G.L., Dickerson, F.B., Wang, N., Dalcin, A., Jerome, G.J., Anderson, C.A.M., et al. (2013) A Behavioral Weight-Loss Intervention in Persons with Serious Mental Illness. New England Journal of Medicine, 368, 1594-1602. https://doi.org/10.1056/nejmoa1214530
[47]
Sass, L.A. and Parnas, J. (2003) Schizophrenia, Consciousness, and the Self. Schizophrenia Bulletin, 29, 427-444. https://doi.org/10.1093/oxfordjournals.schbul.a007017
[48]
Thornley, S., Russell, B. and Kydd, R. (2011) Carbohydrate Reward and Psychosis: An Explanation for Neuroleptic Induced Weight Gain and Path to Improved Mental Health? Current Neuropharmacology, 9, 370-375. https://doi.org/10.2174/157015911795596513
[49]
Luciano, M., Sampogna, G., Del Vecchio, V., Giallonardo, V., Palummo, C., Andriola, I., et al. (2021) The Impact of Clinical and Social Factors on the Physical Health of People with Severe Mental Illness: Results from an Italian Multicentre Study. Psychiatry Research, 303, Article ID: 114073. https://doi.org/10.1016/j.psychres.2021.114073
[50]
Mangurian, C., Sreshta, N. and Seligman, H. (2013) Food Insecurity among Adults with Severe Mental Illness. Psychiatric Services, 64, 931-932. https://doi.org/10.1176/appi.ps.201300022
[51]
Hudson, C.G. (2005) Socioeconomic Status and Mental Illness: Tests of the Social Causation and Selection Hypotheses. American Journal of Orthopsychiatry, 75, 3-18. https://doi.org/10.1037/0002-9432.75.1.3
[52]
Firth, J., Rosenbaum, S., Stubbs, B., Gorczynski, P., Yung, A.R. and Vancampfort, D. (2016) Motivating Factors and Barriers Towards Exercise in Severe Mental Illness: A Systematic Review and Meta-Analysis. Psychological Medicine, 46, 2869-2881. https://doi.org/10.1017/s0033291716001732
[53]
Luciano, M., Sampogna, G., Amore, M., Andriola, I., Calcagno, P., Carmassi, C., et al. (2021) How to Improve the Physical Health of People with Severe Mental Illness? A Multicentric Randomized Controlled Trial on the Efficacy of a Lifestyle Group Intervention. European Psychiatry, 64, e72. https://doi.org/10.1192/j.eurpsy.2021.2253
[54]
Mazzi, F., Baccari, F., Mungai, F., Ciambellini, M., Brescancin, L. and Starace, F. (2018) Effectiveness of a Social Inclusion Program in People with Non-Affective Psychosis. BMC Psychiatry, 18, Article No. 179. https://doi.org/10.1186/s12888-018-1728-5
[55]
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N. and Leese, M. (2009) Global Pattern of Experienced and Anticipated Discrimination against People with Schizophrenia: A Cross-Sectional Survey. The Lancet, 373, 408-415. https://doi.org/10.1016/s0140-6736(08)61817-6
[56]
Correll, C.U. (2009) Cardiometabolic Risk of Second-Generation Antipsychotic Medications during First-Time Use in Children and Adolescents. JAMA, 302, 1765-1773. https://doi.org/10.1001/jama.2009.1549
[57]
De Hert, M., Detraux, J., van Winkel, R., Yu, W. and Correll, C.U. (2011) Metabolic and Cardiovascular Adverse Effects Associated with Antipsychotic Drugs. Nature Reviews Endocrinology, 8, 114-126. https://doi.org/10.1038/nrendo.2011.156
[58]
Green, A.I., Patel, J.K., Goisman, R.M., Allison, D.B. and Blackburn, G. (2000) Weight Gain from Novel Antipsychotic Drugs: Need for Action. General Hospital Psychiatry, 22, 224-235. https://doi.org/10.1016/s0163-8343(00)00081-5
[59]
Sampogna, G., Di Vincenzo, M., Luciano, M., Della Rocca, B., D’Ambrosio, E., Rampino, A., et al. (2025) Improving the Physical Health of Overweight/Obese People Suffering from Severe Mental Disorders: What Is the Role of Antipsychotic Drugs and of Lifestyle Psychosocial Interventions? Journal of Psychiatric Research, 181, 570-578. https://doi.org/10.1016/j.jpsychires.2024.11.029
[60]
Covell, N.H., Weissman, E.M., Schell, B., McCorkle, B.H., Summerfelt, W.T., Weiden, P.J., et al. (2007) Distress with Medication Side Effects among Persons with Severe Mental Illness. Administration and Policy in Mental Health and Mental Health Services Research, 34, 435-442. https://doi.org/10.1007/s10488-007-0131-1
[61]
Katekaru, M., Minn, C. E. and Pobutsky, A. M. (2015) Weight Reduction among People with Severe and Persistent Mental Illness after Health Behavior Counseling and Monitoring. Hawai’i Journal of Medicine & Public Health, 74, 146-149. https://pmc.ncbi.nlm.nih.gov/articles/PMC4407458/
[62]
Perez-Cruzado, D., Cuesta-Vargas, A., Vera-Garcia, E. and Mayoral-Cleries, F. (2018) Medication and Physical Activity and Physical Fitness in Severe Mental Illness. Psychiatry Research, 267, 19-24. https://doi.org/10.1016/j.psychres.2018.05.055
[63]
Lin, C., Huang, L., Chang, Y., Chen, R. and Yang, S. (2021) Effectiveness of Health Coaching in Diabetes Control and Lifestyle Improvement: A Randomized-Controlled Trial. Nutrients, 13, Article 3878. https://doi.org/10.3390/nu13113878
[64]
Long, H., Howells, K., Peters, S. and Blakemore, A. (2019) Does Health Coaching Improve Health-Related Quality of Life and Reduce Hospital Admissions in People with Chronic Obstructive Pulmonary Disease? A Systematic Review and Meta‐analysis. British Journal of Health Psychology, 24, 515-546. https://doi.org/10.1111/bjhp.12366
[65]
Aschbrenner, K.A., Naslund, J.A., Shevenell, M., Mueser, K.T. and Bartels, S.J. (2015) Feasibility of Behavioral Weight Loss Treatment Enhanced with Peer Support and Mobile Health Technology for Individuals with Serious Mental Illness. Psychiatric Quarterly, 87, 401-415. https://doi.org/10.1007/s11126-015-9395-x
[66]
Griffiths, C. and Hina, F. (2021) Integrated Review of Lifestyle Interventions Targeting Diet and Exercise in Early or First-Episode Psychosis. Open Journal of Psychiatry, 11, 265-278. https://doi.org/10.4236/ojpsych.2021.114021
[67]
Stubbs, B., Vancampfort, D., Hallgren, M., Firth, J., Veronese, N., Solmi, M., et al. (2018) 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). European Psychiatry, 54, 124-144. https://doi.org/10.1016/j.eurpsy.2018.07.004
[68]
Walburg, F.S., de Joode, J.W., Brandt, H.E., van Tulder, M.W., Adriaanse, M.C. and van Meijel, B. (2022) Implementation of a Lifestyle Intervention for People with a Severe Mental Illness (SMILE): A Process Evaluation. BMC Health Services Research, 22, Article No. 27. https://doi.org/10.1186/s12913-021-07391-3
[69]
Bishop, L., Hemingway, A. and Crabtree, S.A. (2018) Lifestyle Coaching for Mental Health Difficulties: Scoping Review. Journal of Public Mental Health, 17, 29-44. https://doi.org/10.1108/jpmh-04-2017-0018
[70]
Bodai, B.I., Nakata, T.E., Wong, W.T., Clark, D.R., Lawenda, S., Tsou, C., et al. (2018) Lifestyle Medicine: A Brief Review of Its Dramatic Impact on Health and Survival. The Permanente Journal, 22, 17-25. https://doi.org/10.7812/tpp/17-025
[71]
Kivelä, K., Elo, S., Kyngäs, H. and Kääriäinen, M. (2014) The Effects of Health Coaching on Adult Patients with Chronic Diseases: A Systematic Review. Patient Education and Counseling, 97, 147-157. https://doi.org/10.1016/j.pec.2014.07.026
[72]
Meade, O., Aehlig, L., O’Brien, M., Lawless, A., McSharry, J., Dragomir, A., et al. (2025) Implementation of a National Programme to Train and Support Healthcare Professionals in Brief Behavioural Interventions: A Qualitative Study Using the Theoretical Domains Framework. British Journal of Health Psychology, 30, e12777. https://doi.org/10.1111/bjhp.12777
[73]
Olsen, J.M. (2013) Health Coaching: A Concept Analysis. Nursing Forum, 49, 18-29. https://doi.org/10.1111/nuf.12042
[74]
Perlman, A.I. and Abu Dabrh, A.M. (2020) Health and Wellness Coaching in Serving the Needs of Today’s Patients: A Primer for Healthcare Professionals. Global Advances in Health and Medicine, 9. https://doi.org/10.1177/2164956120959274
[75]
Holt, R.I.G. (2019) The Management of Obesity in People with Severe Mental Illness: An Unresolved Conundrum. Psychotherapy and Psychosomatics, 88, 327-332. https://doi.org/10.1159/000503835
[76]
Naslund, J.A., Whiteman, K.L., McHugo, G.J., Aschbrenner, K.A., Marsch, L.A. and Bartels, S.J. (2017) Lifestyle Interventions for Weight Loss among Overweight and Obese Adults with Serious Mental Illness: A Systematic Review and Meta-Analysis. General Hospital Psychiatry, 47, 83-102. https://doi.org/10.1016/j.genhosppsych.2017.04.003
[77]
Chacón, F., Mora, F., Gervás-Ríos, A. and Gilaberte, I. (2011) Efficacy of Lifestyle Interventions in Physical Health Management of Patients with Severe Mental Illness. Annals of General Psychiatry, 10, Article No. 22. https://doi.org/10.1186/1744-859x-10-22
[78]
Walburg, F.S., van Meijel, B., Hoekstra, T., Kol, J., Pape, L.M., de Joode, J.W., et al. (2023) Effectiveness of a Lifestyle Intervention for People with a Severe Mental Illness in Dutch Outpatient Mental Health Care: A Randomized Clinical Trial. JAMA Psychiatry, 80, 886. https://doi.org/10.1001/jamapsychiatry.2023.1566
[79]
Browne, J., Naslund, J.A., Salwen‐Deremer, J.K., Sarcione, C., Cabassa, L.J. and Aschbrenner, K.A. (2023) Factors Influencing Engagement in In-Person and Remotely Delivered Lifestyle Interventions for Young Adults with Serious Mental Illness: A Qualitative Study. Early Intervention in Psychiatry, 18, 42-48. https://doi.org/10.1111/eip.13432
[80]
Luciano, M., Sampogna, G., Amore, M., Bertolino, A., Dell’Osso, L., Rossi, A., et al. (2022) Improving Physical Activity and Diet in Patients with Severe Mental Disorders: Results from the LIFESTYLE Multicentric, Real-World Randomized Controlled Trial. Psychiatry Research, 317, Article ID: 114818. https://doi.org/10.1016/j.psychres.2022.114818
[81]
O’sullivan, J., Gilbert, J. and Ward, W. (2006) Addressing the Health and Lifestyle Issues of People with a Mental Illness: The Healthy Living Programme. Australasian Psychiatry, 14, 150-155. https://doi.org/10.1080/j.1440-1665.2006.02275.x
[82]
Silvestro, R., Dello Stritto, V., Catapano, P., Di Vincenzo, M., Della Rocca, B., Lapadula, M.V., et al. (2024) Physical Activity and Treatment Adherence in Patients with Mental Disorders: A Randomized Controlled Trial. European Psychiatry, 67, S63-S64. https://doi.org/10.1192/j.eurpsy.2024.177
[83]
Sollo, V., Di Vincenzo, M., Carbone, M., Rosa, A., Toricco, R., Tretola, L., et al. (2023) The Improvement of Healthy Habits in Patients with Severe Mental Disorders: The LIFESTYLE Trial. European Psychiatry, 66, S74-S75. https://doi.org/10.1192/j.eurpsy.2023.243
[84]
Firth, J., Carney, R., Jerome, L., Elliott, R., French, P. and Yung, A.R. (2016) The Effects and Determinants of Exercise Participation in First-Episode Psychosis: A Qualitative Study. BMC Psychiatry, 16, Article No. 36. https://doi.org/10.1186/s12888-016-0751-7
[85]
Luciano, M., Sampogna, G., D’Ambrosio, E., Rampino, A., Amore, M., Calcagno, P., et al. (2023) One-year Efficacy of a Lifestyle Behavioural Intervention on Physical and Mental Health in People with Severe Mental Disorders: Results from a Randomized Controlled Trial. European Archives of Psychiatry and Clinical Neuroscience, 274, 903-915. https://doi.org/10.1007/s00406-023-01684-w
[86]
Smith, J., Griffiths, L.A., Band, M., Hird-Smith, R., Williams, B., Bold, J., et al. (2020) Early Intervention in Psychosis: Effectiveness and Implementation of a Combined Exercise and Health Behavior Intervention within Routine Care. Frontiers in Endocrinology, 11, Article 577691. https://doi.org/10.3389/fendo.2020.577691
[87]
Watkins, A., Denney‐Wilson, E., Curtis, J., Teasdale, S., Rosenbaum, S., Ward, P.B., et al. (2019) Keeping the Body in Mind: A Qualitative Analysis of the Experiences of People Experiencing First-Episode Psychosis Participating in a Lifestyle Intervention Programme. International Journal of Mental Health Nursing, 29, 278-289. https://doi.org/10.1111/inm.12683
[88]
Heslin, M., Patel, A., Stahl, D., Gardner-Sood, P., Mushore, M., Smith, S., et al. (2017) Randomised Controlled Trial to Improve Health and Reduce Substance Use in Established Psychosis (IMPaCT): Cost-Effectiveness of Integrated Psychosocial Health Promotion. BMC Psychiatry, 17, Article No. 407. https://doi.org/10.1186/s12888-017-1570-1
[89]
Holt, R.I.G., Gossage-Worrall, R., Hind, D., Bradburn, M.J., McCrone, P., Morris, T., et al. (2018) Structured Lifestyle Education for People with Schizophrenia, Schizoaffective Disorder and First-Episode Psychosis (STEPWISE): Randomised Controlled Trial. The British Journal of Psychiatry, 214, 63-73. https://doi.org/10.1192/bjp.2018.167
[90]
Jakobsen, A.S., Speyer, H., Nørgaard, H.C.B., Karlsen, M., Birk, M., Hjorthøj, C., et al. (2017) Effect of Lifestyle Coaching versus Care Coordination versus Treatment as Usual in People with Severe Mental Illness and Overweight: Two-Years Follow-Up of the Randomized CHANGE Trial. PLOS ONE, 12, e0185881. https://doi.org/10.1371/journal.pone.0185881
[91]
Mohanty, K., Gandhi, S., Krishna Prasad, M., John, A.P., Bhaskarapillai, B., Malo, P., et al. (2024) Effectiveness of Lifestyle Intervention on Prevention/Management of Antipsychotic-Induced Weight Gain among Persons with Severe Mental Illness: A Systematic Review and Meta-analysis. Journal of Health Psychology, 29, 690-706. https://doi.org/10.1177/13591053241227384
[92]
Larsen, L.Q., Schnor, H., Tersbøl, B.P., Ebdrup, B.H., Nordsborg, N.B. and Midtgaard, J. (2019) The Impact of Exercise Training Complementary to Early Intervention in Patients with First-Episode Psychosis: A Qualitative Sub-Study from a Randomized Controlled Feasibility Trial. BMC Psychiatry, 19, Article No. 192. https://doi.org/10.1186/s12888-019-2179-3
[93]
Méndez-Aguado, C., Cangas, A.J., Aguilar-Parra, J.M. and Lirola, M.J. (2023) Benefits, Facilitators and Barrier Reductions in Physical Activity Programmes for People with Severe Mental Disorder: A Systematic Review. Healthcare, 11, Article 1215. https://doi.org/10.3390/healthcare11091215
[94]
Curtis, J., Watkins, A., Rosenbaum, S., Teasdale, S., Kalucy, M., Samaras, K., et al. (2015) Evaluating an Individualized Lifestyle and Life Skills Intervention to Prevent Antipsychotic-Induced Weight Gain in First‐episode Psychosis. Early Intervention in Psychiatry, 10, 267-276. https://doi.org/10.1111/eip.12230
[95]
Mishu, M.P., Peckham, E.J., Heron, P.N., Tew, G.A., Stubbs, B. and Gilbody, S. (2018) Factors Associated with Regular Physical Activity Participation among People with Severe Mental Ill Health. Social Psychiatry and Psychiatric Epidemiology, 54, 887-895. https://doi.org/10.1007/s00127-018-1639-2
[96]
Teasdale, S.B., Ward, P.B., Rosenbaum, S., Samaras, K. and Stubbs, B. (2017) Solving a Weighty Problem: Systematic Review and Meta-Analysis of Nutrition Interventions in Severe Mental Illness. British Journal of Psychiatry, 210, 110-118. https://doi.org/10.1192/bjp.bp.115.177139
[97]
NHS England (2024) 10 Key Actions: Improving the Physical Health of People Living with Severe Mental Illness. https://www.england.nhs.uk/long-read/10-key-actions-improving-the-physical-health-of-people-living-with-severe-mental-illness
[98]
Vancampfort, D., Probst, M., Scheewe, T., Maurissen, K., Sweers, K., Knapen, J., et al. (2011) Lack of Physical Activity during Leisure Time Contributes to an Impaired Health Related Quality of Life in Patients with Schizophrenia. Schizophrenia Research, 129, 122-127. https://doi.org/10.1016/j.schres.2011.03.018
[99]
Vancampfort, D., Probst, M., Stubbs, B., Soundy, A., De Herdt, A. and De Hert, M. (2014) Metabolic Syndrome and Lung Function in Schizophrenia: A Pilot Study. Psychiatry Research, 220, 58-62. https://doi.org/10.1016/j.psychres.2014.06.008
[100]
Hassan, S., Ross, J., Marston, L., Burton, A., Osborn, D. and Walters, K. (2020) Exploring How Health Behaviours Are Supported and Changed in People with Severe Mental Illness: A Qualitative Study of a Cardiovascular Risk Reducing Intervention in Primary Care in England. British Journal of Health Psychology, 25, 428-451. https://doi.org/10.1111/bjhp.12415
[101]
Pedley, R., Lovell, K., Bee, P., Bradshaw, T., Gellatly, J., Ward, K., et al. (2018) Collaborative, Individualised Lifestyle Interventions Are Acceptable to People with First Episode Psychosis; a Qualitative Study. BMC Psychiatry, 18, Article No. 111. https://doi.org/10.1186/s12888-018-1692-0
[102]
Gorovoy, S.B., Campbell, R.L., Fox, R.S. and Grandner, M.A. (2023) App-Supported Sleep Coaching: Implications for Sleep Duration and Sleep Quality. Frontiers in Sleep, 2, Article 1156844. https://doi.org/10.3389/frsle.2023.1156844
[103]
Eid, N.M.S., Al-ofi, E.A., Enani, S., Mosli, R.H., Saqr, R.R., Qutah, K.M., et al. (2024) A 6-Month Randomised Controlled Trial to Compare the Effectiveness of Telenutrition v. Telenutrition Supported by Telemonitoring and Health Coaching in a Weight Loss Programme: A Study Protocol. British Journal of Nutrition, 132, 1224-1232. https://doi.org/10.1017/s0007114524002563
[104]
Eid, N.M.S. and Eid, S.M.S. (2024) Impact of Integrative Nutrition Health Coaching in Weight Management Programs: A Case Report. Open Journal of Preventive Medicine, 14, 173-184. https://doi.org/10.4236/ojpm.2024.149013
[105]
Ringeval, M., Wagner, G., Denford, J., Paré, G. and Kitsiou, S. (2020) Fitbit-Based Interventions for Healthy Lifestyle Outcomes: Systematic Review and Meta-Analysis. Journal of Medical Internet Research, 22, e23954. https://doi.org/10.2196/23954
[106]
Kooiman, T.J.M., de Groot, M., Hoogenberg, K., Krijnen, W.P., van der Schans, C.P. and Kooy, A. (2018) Self-Tracking of Physical Activity in People with Type 2 Diabetes: A Randomized Controlled Trial. CIN: Computers, Informatics, Nursing, 36, 340-349. https://doi.org/10.1097/cin.0000000000000443
[107]
Aledavood, T., Torous, J., Triana Hoyos, A.M., Naslund, J.A., Onnela, J. and Keshavan, M. (2019) Smartphone-Based Tracking of Sleep in Depression, Anxiety, and Psychotic Disorders. Current Psychiatry Reports, 21, Article No. 49. https://doi.org/10.1007/s11920-019-1043-y
[108]
Aschbrenner, K.A., Naslund, J.A., Tomlinson, E.F., Kinney, A., Pratt, S.I. and Brunette, M.F. (2019) Adolescents’ Use of Digital Technologies and Preferences for Mobile Health Coaching in Public Mental Health Settings. Frontiers in Public Health, 7, Article 178. https://doi.org/10.3389/fpubh.2019.00178
[109]
Naslund, J.A., Aschbrenner, K.A., Scherer, E.A., McHugo, G.J., Marsch, L.A. and Bartels, S.J. (2016) Wearable Devices and Mobile Technologies for Supporting Behavioral Weight Loss among People with Serious Mental Illness. Psychiatry Research, 244, 139-144. https://doi.org/10.1016/j.psychres.2016.06.056
[110]
Aschbrenner, K.A., Naslund, J.A., Barre, L.K., Mueser, K.T., Kinney, A. and Bartels, S.J. (2015) Peer Health Coaching for Overweight and Obese Individuals with Serious Mental Illness: Intervention Development and Initial Feasibility Study. Translational Behavioral Medicine, 5, 277-284. https://doi.org/10.1007/s13142-015-0313-4
[111]
Griffiths, C., Hina, F., Pollard, L., Jugon, S., Sam, M. and Kelbrick, M. (2021) A Qualitative Study of Early Intervention Psychosis (EIP) Service Patient’s Experience of Sleep, Exercise, Sleep Hygiene Advice and Fitbit Wearable Activity and Sleep Tracker. Open Journal of Psychiatry, 11, 91-106. https://doi.org/10.4236/ojpsych.2021.112009
[112]
Griffiths, C., Walker, K. and Jiang, H. (2023) Experience and Impact of the “Well-Track” Physical Activity and Sleep Tracker Based Healthy Lifestyle Intervention for Patients in an Early Intervention in Psychosis (EIP) Service. Open Journal of Psychiatry, 13, 73-93. https://doi.org/10.4236/ojpsych.2023.132009
[113]
Griffiths, C., Silva, K.D., Sheldon, A. and Smith, G. (2024) “Well-Track” Healthy Lifestyle (Physical Activity, Sleep Hygiene, Diet, Wearable Activity Tracker) Coaching in Severe Mental Illness (SMI). Psychology, 15, 1208-1220. https://doi.org/10.4236/psych.2024.157071
[114]
Braun, V. and Clarke, V. (2006) Using Thematic Analysis in Psychology. Qualitative Research in Psychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa
[115]
Braun, V. and Clarke, V. (2021) Thematic Analysis. SAGE Publications.
[116]
Byrne, D. (2021) A Worked Example of Braun and Clarke’s Approach to Reflexive Thematic Analysis. Quality & Quantity, 56, 1391-1412. https://doi.org/10.1007/s11135-021-01182-y
[117]
Braun, V. and Clarke, V. (2019) Reflecting on Reflexive Thematic Analysis. Qualitative Research in Sport, Exercise and Health, 11, 589-597. https://doi.org/10.1080/2159676x.2019.1628806
[118]
Nowell, L.S., Norris, J.M., White, D.E. and Moules, N.J. (2017) Thematic Analysis: Striving to Meet the Trustworthiness Criteria. International Journal of Qualitative Methods, 16. https://doi.org/10.1177/1609406917733847
[119]
Chum, J., Kim, M.S., Zielinski, L., Bhatt, M., Chung, D., Yeung, S., et al. (2017) Acceptability of the Fitbit in Behavioural Activation Therapy for Depression: A Qualitative Study. Evidence Based Mental Health, 20, 128-133. https://doi.org/10.1136/eb-2017-102763
[120]
Hardcastle, S.J., Hancox, J., Hattar, A., Maxwell-Smith, C., Thøgersen-Ntoumani, C. and Hagger, M.S. (2015) Motivating the Unmotivated: How Can Health Behavior Be Changed in Those Unwilling to Change? Frontiers in Psychology, 6, Article 835. https://doi.org/10.3389/fpsyg.2015.00835
[121]
Vancampfort, D., De Hert, M., Broderick, J., Lederman, O., Firth, J., Rosenbaum, S., et al. (2016) Is Autonomous Motivation the Key to Maintaining an Active Lifestyle in First-Episode Psychosis? Early Intervention in Psychiatry, 12, 821-827. https://doi.org/10.1111/eip.12373
[122]
Burton, A., Osborn, D., Atkins, L., Michie, S., Gray, B., Stevenson, F., et al. (2015) Lowering Cardiovascular Disease Risk for People with Severe Mental Illnesses in Primary Care: A Focus Group Study. PLOS ONE, 10, e0136603. https://doi.org/10.1371/journal.pone.0136603
[123]
Roberts, S.H. and Bailey, J.E. (2011) Incentives and Barriers to Lifestyle Interventions for People with Severe Mental Illness: A Narrative Synthesis of Quantitative, Qualitative and Mixed Methods Studies. Journal of Advanced Nursing, 67, 690-708. https://doi.org/10.1111/j.1365-2648.2010.05546.x
[124]
Harvey, C., Ratcliffe, P. and Gulliford, M.C. (2020) Well-Being, Physical Activity and Long-Term Conditions: Cross-Sectional Analysis of Health Survey for England 2016. Public Health, 185, 368-374. https://doi.org/10.1016/j.puhe.2020.06.013
[125]
Tee, H., Priebe, S., Santos, C., Xanthopoulou, P., Webber, M. and Giacco, D. (2020) Helping People with Psychosis to Expand Their Social Networks: The Stakeholders’ Views. BMC Psychiatry, 20, Article No. 29. https://doi.org/10.1186/s12888-020-2445-4
[126]
Wood, L. and Alsawy, S. (2017) Recovery in Psychosis from a Service User Perspective: A Systematic Review and Thematic Synthesis of Current Qualitative Evidence. Community Mental Health Journal, 54, 793-804. https://doi.org/10.1007/s10597-017-0185-9
[127]
Chew, H.S.J., Rajasegaran, N.N., Chin, Y.H., Chew, W.S.N. and Kim, K.M. (2023) Effectiveness of Combined Health Coaching and Self-Monitoring Apps on Weight-Related Outcomes in People with Overweight and Obesity: Systematic Review and Meta-Analysis. Journal of Medical Internet Research, 25, e42432. https://doi.org/10.2196/42432
