An Effectiveness Trial of an Exercise Physiologist Service to Improve Quality of Life in Adults with Severe Mental Illness: Protocol for the MOVEMENT Study

Chapman, Justin J., Siskind, Dan, Yung, Alison R., Lee, Yong Yi, Arnautovska, Urska, Scott, James G., Burke, Kylie, Malacova, Eva, Korman, Nicole, Wyder, Marianne, Doohan, Meg A., Keating, Shelley E., Parker, Stephen, Walker, Max E., Hu, Di, O’Brien, Jake, Lau, Geoffrey, Pratt, Gregory F., Rosenbaum, Simon, Curtis, Jackie, Chatterton, Mary Lou, Simmons, Lisa, and Wheeler, Amanda J. (2025) An Effectiveness Trial of an Exercise Physiologist Service to Improve Quality of Life in Adults with Severe Mental Illness: Protocol for the MOVEMENT Study. Neuropsychiatric Disease and Treatment, 21. pp. 1399-1408.

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Abstract

Introduction: Exercise can improve the quality of life (QoL) of people with severe mental illness (SMI); however, many experience practical, psychosocial, and socioeconomic barriers to commencing and maintaining exercise. This protocol describes a study aiming to assess the effectiveness of an Accredited Exercise Physiologist (AEP) service for improving QoL in adults with SMI.

Methods and Analysis: This is a prospective non-randomised effectiveness trial to evaluate the effectiveness and cost-effectiveness of an AEP service within mental healthcare settings. Participants will be adults (18+ years) with SMI recruited from public mental health services and community organizations. The primary outcome is QoL assessed using the Recovering Quality of Life questionnaire (ReQoL) assessed at baseline, 3-month and 6-month follow-up. Participants will be invited to a study in which they may self-select to access an AEP service for six months. Self-reported health, demographic and psychosocial influences will be measured and incorporated in analyses as covariates. This is a pragmatic observational approach to evaluating effectiveness, in which participants who attend the AEP service will be compared with those who decline. Reasons for non-participation will be explored, and rates of recruitment and adherence will be examined. Findings will provide insight into implementing AEP services in mental health settings.

Ethics and Dissemination: Ethics approval has been obtained from the Metro South Health Human Research Ethics Committee (HREC/2024/QMS/109698). We plan to submit a manuscript of the results to a peer-reviewed journal. Results will be presented at conferences, community and consumer forums and hospital grand rounds.

Item ID: 88731
Item Type: Article (Scholarly Work)
ISSN: 1178-2021
Keywords: health services, implementation, lifestyle intervention, mental health, physical activity, recovery
Copyright Information: © 2025 Chapman et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v4.0) License (http://creativecommons.org/licenses/by-nc/4.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
Research Data: https://pmc.ncbi.nlm.nih.gov/articles/PMC12262064/
Date Deposited: 22 Oct 2025 03:04
FoR Codes: 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520399 Clinical and health psychology not elsewhere classified @ 50%
42 HEALTH SCIENCES > 4207 Sports science and exercise > 420702 Exercise physiology @ 50%
SEO Codes: 20 HEALTH > 2002 Evaluation of health and support services > 200299 Evaluation of health and support services not elsewhere classified @ 100%
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