Co-production of “nature walks for wellbeing” public health intervention for people with severe mental illness: use of theory and practical know-how
Open Access
- 1 April 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 20 (1), 1-12
- https://doi.org/10.1186/s12889-020-08518-7
Abstract
Interventions need to be developed in a timely and relatively low-cost manner in order to respond to, and quickly address, major public health concerns. We aimed to quickly develop an intervention to support people with severe mental ill-health, that is systematic, well founded both in theory and evidence, without the support of significant funding or resource. In this article we aim to open and elucidate the contents of the ‘black box’ of intervention development. A multidisciplinary team of seven academics and health practitioners, together with service user input, developed an intervention in 2018 by scoping the literature, face-to-face meetings, email and telephone. Researcher fieldnotes were analysed to describe how the intervention was developed in four iterative steps. In step 1 and 2, scoping the literature showed that, a) people with severe mental illness have high mortality risk in part due to high levels of sedentary behaviour and low levels of exercise; b) barriers to being active include mood, stress, body weight, money, lack of programmes and facilities and stigma c) ‘nature walks’ has potential as an intervention to address the problem. In Step 3, the team agreed what needed to be included in the intervention so it addressed the “five ways to mental wellbeing” i.e., help people to connect, be active, take notice, keep learning and give. The intervention was mapped to key behavioural change concepts such as, personal relevance, relapse prevention, self-efficacy. In Step 4, the team worked out how best to implement the intervention. The intervention would be delivered over 12 weeks by members of the hospital team and community walk volunteers. Participants would receive a nature walks booklet and text messages. We developed a theoretically-informed, evidence-based nature walks programme in a timely and relatively low-cost manner relevant in an era of growing mental illness and funding austerity. Further research is required to test if the intervention is effective and if this approach to intervention development works.This publication has 51 references indexed in Scilit:
- A review of physical activity correlates in patients with bipolar disorderJournal of Affective Disorders, 2013
- The High Prevalence of Poor Physical Health and Unhealthy Lifestyle Behaviours in Individuals with Severe Mental IllnessIssues in Mental Health Nursing, 2011
- Does Participating in Physical Activity in Outdoor Natural Environments Have a Greater Effect on Physical and Mental Wellbeing than Physical Activity Indoors? A Systematic ReviewEnvironmental Science & Technology, 2011
- A systematic review of evidence for the added benefits to health of exposure to natural environmentsBMC Public Health, 2010
- Are interventions theory-based? Development of a theory coding scheme.Health Psychology, 2010
- A typology of reviews: an analysis of 14 review types and associated methodologiesHealth Information and Libraries Journal, 2009
- Developing and evaluating complex interventions: the new Medical Research Council guidanceBMJ, 2008
- Evidence, Theory and Context: Using intervention mapping to develop a worksite physical activity interventionBMC Public Health, 2008
- Exercise for overweight or obesityEmergencias, 2006
- The OFF theory of research utilizationJournal of Clinical Epidemiology, 2005