Abstract
Mental illness in Canada carries a yearly economic burden of $51 billion. It is important to identify factors that can mitigate this burden by improving the health and well-being of individuals with severe and persistent mental illness (SPMI). Exercise may be one such factor. The purpose of this study was to examine the feasibility and effectiveness of a six-week tailored one-on-one exercise program for a local community mental health organization. Participants completed pre and post-intervention questionnaires to assess changes in mental health. Physical activity was assessed using both self-report and objective (accelerometers) measures. All quantitative measures are used for evaluation of the feasibility of the program. Interviews with the participants, key organizational stakeholders, and the trainers were also conducted. Overall, study retention and compliance with the study protocol was excellent. Participants (N=5) reported increases in physical activity levels and also improvements in additional lifestyle behaviours such as diet and substance use. Positive changes to mood were noted and perceptions of confidence increased. Participants reported desires for leadership roles in starting physical activity programs in their community homes and as ambassadors for health for people with SPMI. Interviews with the key organizational stakeholder and trainers provide support for the feasibility of the exercise program. As mental illness continues to strain the healthcare system, it is imperative that treatments other than pharmacology and psychotherapy are explored. Exercise may offer positive effects on the health of individuals with mental illness and ultimately reduce the burden of mental illness.
