J. Firth, S. Rosenbaum, B. Stubbs, P. Gorczynski, A. R. Yung, D. Vancampfort, ‘Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis’, https://www.cambridge.org/core/journals/psychological-medicine/article/motivating-factors-and-barriers-towards-exercise-in-severe-mental-illness-a-systematic-review-and-meta-analysis/1802F617B64F75CF6721FE59A2F73D1F/core-reader, DOI: http://dx.doi.org/10.1017/S0033291716001732, Cambridge University (09 August 2016).

Supervision or assistance

People with severe mental illness (SMI) experience a premature mortality of around 15–20 years, largely due to inequalities in physical health (…). People with SMI value exercise for its ability to improve physical health and appearance, and the psychological benefits. However, mental health symptoms, tiredness and insufficient support present substantial barriers for the majority of patients. Taking this into account, exercise training programmes for people with SMI should be designed to improve exercise capacities and cardiorespiratory fitness, while also providing the necessary levels of supervision or assistance for each patient to overcome psychological barriers and achieve their goals.