title: The transcending benefits of physical activity for individuals with schizophrenia: a systematic review and meta-ethnography.
abstract: A systematic review and meta-ethnographic synthesis exploring the experiences of people with schizophrenia and healthcare professionals (HCPs) towards physical activity was undertaken. Major electronic databases were searched from inception until January 2014. Studies were eligible if they considered the experiences and perceptions of people with schizophrenia or the perceptions of HCPs towards physical activity. All included studies were synthesised within a meta-ethnographic approach, including completing a methodological quality assessment. The search strategy identified 106 articles, 11 of which were included in the final analysis. Eight articles considered patients׳ experiences and perceptions, and three articles considered the experiences and perceptions of HCPs. A total of 108 patients and 65 HCPs were included. Three main themes were identified: (1) the influence of identity, culture and the environment on physical activity engagement, (2) access and barriers to participation in physical activity, and (3) the benefits of engaging in physical activity. Aspects within the built, social and political environment as well as aspects of social cognition and perceptual biases influence participation in physical activity for individuals with schizophrenia. Specific recommendations for HCPs are given to help promote physical activity in this population group.
authors.affiliation: Department of Physiotherapy, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2 TT UK. Electronic address: A.A.Soundy@bham.ac.uk.
authors.forename: Andy
authors.initials: A
authors.lastname: Soundy
authors.affiliation: Department of Sport and Health Sciences, University of Exeter, Exeter, Devon, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Freeman
authors.affiliation: School of Health and Social Care, University of Greenwich, Southwood Site Avery Hill Road Eltham, London SE9 2UG, UK.
authors.forename: Brendon
authors.initials: B
authors.lastname: Stubbs
authors.affiliation: University Psychiatric Centre, KU Leuven, Kortenberg, Department of Neurosciences, KU Leuven, Leuvensesteenweg 517, B-3070 Kortenberg, Belgium; Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, B-3001 Leuven, Belgium.
authors.forename: Michel
authors.initials: M
authors.lastname: Probst
authors.affiliation: School of Sport, University of Stirling, Stirling, Scotland, UK.
authors.forename: Pete
authors.initials: P
authors.lastname: Coffee
authors.affiliation: University Psychiatric Centre, KU Leuven, Kortenberg, Department of Neurosciences, KU Leuven, Leuvensesteenweg 517, B-3070 Kortenberg, Belgium; Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, B-3001 Leuven, Belgium.
authors.forename: Davy
authors.initials: D
authors.lastname: Vancampfort
mesh_terms: D000884:Anthropology, Cultural / Q000379:methods*; D006801:Humans; D009043:Motor Activity / Q000502:physiology*; D012559:Schizophrenia / Q000534:rehabilitation*
keywords: Physical activity; Qualitative; Review