Ignite Creation Date:
2024-05-06 @ 6:59 PM
Last Modification Date:
2024-10-26 @ 2:58 PM
Study NCT ID:
NCT05859204
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2023-08-09
First Post:
2023-05-04
Brief Title:
Impact of Exercise Groups on Patient Mental Health and Wellbeing in an Acute Psychiatric Inpatient Unit
Sponsor:
Johns Hopkins University
Organization:
Johns Hopkins University
Study Overview
Official Title:
Impact of Exercise Groups on Patient Mental Health and Wellbeing in an Acute Psychiatric Inpatient Unit
Status:
ENROLLING_BY_INVITATION
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
More research is needed to elucidate the impacts of physical activity interventions on short- and long-term activity and neuropsychiatric symptoms NPS in psychiatric inpatients and to support its advantageousness when compared to current standards of care To investigate the impact of regular exercise on activity level NPS and sleep in an inpatient psychiatry unit the investigators propose a placebo-controlled study with measures of activity mood anxiety energy and sleep as primary outcomes in 50 psychiatric inpatients at Johns Hopkins Hospital Given the challenges of maintaining blinded assignment to treatment arm the investigators will compare patients during two time periods 3 months each the first is treatment as usual TAU the second adds exercise intervention EXI
Detailed Description:
Growing evidence suggests that physical activity is associated with increased cognitive functioning and improved mental health A recent meta-analysis demonstrated an inverse dose-response association between physical activity and depression particularly at lower activity volumes Similarly exercise has been shown to be associated with decreased anxiety improved sleep and reduced cognitive deficits in outpatient settings
Despite the beneficial impacts of regular physical activity on mental health physical activity is often low in psychiatric inpatient settings Common barriers to exercise include lack of time and resources limited staff knowledge and competing treatment priorities Organizational policy such as strict security procedures and restricted patient movement may also limit consistent integration of exercise into care Finally individuals with severe mental illness more commonly have sedentary lifestyles and may experience sedative side-effects of medication which further limit ability to engage in physical activity
There is limited literature on the impact of interventions aimed at increasing physical activity in psychiatric inpatient settings however preliminary research suggests that these interventions may have positive short-term impacts on patients mood and self-esteem Investigators have found that over 90 of inpatients noted improved mood and body perception immediately following a structured exercise program Moreover there is evidence that psychiatric inpatients have a positive viewpoint of psychical activity intervention as part of psychiatric treatment and believe it will benefit the patients health Given these findings more research is needed to elucidate the impacts of physical activity interventions on short- and long-term activity and neuropsychiatric symptoms NPS in psychiatric inpatients and to support its advantages when compared to current standards of care
Thus to investigate the impact of regular exercise on activity level NPS and sleep in an inpatient psychiatry unit the investigators propose a placebo-controlled study with measures of activity mood anxiety energy and sleep as primary outcomes in 60 psychiatric inpatients at Johns Hopkins Hospital Half of the participants will be assigned to the exercise intervention EXI group and the other half will be assigned to the treatment as usual TAU group Group assignment will be made based on timing of study enrollment - the first 30 participants will be assigned to the TAU group while the subsequent 30 participants will be assigned to the EXI group Activity will be measured via actigraphy and self-report
Despite the beneficial impacts of regular physical activity on mental health physical activity is often low in psychiatric inpatient settings Common barriers to exercise include lack of time and resources limited staff knowledge and competing treatment priorities Organizational policy such as strict security procedures and restricted patient movement may also limit consistent integration of exercise into care Finally individuals with severe mental illness more commonly have sedentary lifestyles and may experience sedative side-effects of medication which further limit ability to engage in physical activity
There is limited literature on the impact of interventions aimed at increasing physical activity in psychiatric inpatient settings however preliminary research suggests that these interventions may have positive short-term impacts on patients mood and self-esteem Investigators have found that over 90 of inpatients noted improved mood and body perception immediately following a structured exercise program Moreover there is evidence that psychiatric inpatients have a positive viewpoint of psychical activity intervention as part of psychiatric treatment and believe it will benefit the patients health Given these findings more research is needed to elucidate the impacts of physical activity interventions on short- and long-term activity and neuropsychiatric symptoms NPS in psychiatric inpatients and to support its advantages when compared to current standards of care
Thus to investigate the impact of regular exercise on activity level NPS and sleep in an inpatient psychiatry unit the investigators propose a placebo-controlled study with measures of activity mood anxiety energy and sleep as primary outcomes in 60 psychiatric inpatients at Johns Hopkins Hospital Half of the participants will be assigned to the exercise intervention EXI group and the other half will be assigned to the treatment as usual TAU group Group assignment will be made based on timing of study enrollment - the first 30 participants will be assigned to the TAU group while the subsequent 30 participants will be assigned to the EXI group Activity will be measured via actigraphy and self-report
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None