“One Size Doesn’t Fit All”: Design Considerations for an Exercise Program to Improve Physical Function in Older Veterans with Serious Mental Illness Article Swipe
Julia Browne
,
Whitney L. Mills
,
Courtney T. Lopez
,
Noah S. Philip
,
Katherine S. Hall
,
Alexander S. Young
,
Kate M. Guthrie
,
Wen‐Chih Wu
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph22020191
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph22020191
Older adults with serious mental illness (SMI) (i.e., schizophrenia, schizoaffective disorder, bipolar disorder) have compromised physical function that adversely affects their quality of life. Exercise is an effective intervention to improve function in older persons; however, older people with SMI experience barriers to exercise engagement. This study sought to obtain feedback on an exercise program in development for older people with SMI that comprised home-based exercise delivery, individualized exercise prescription, and motivational health coaching calls. Individual interviews and focus groups were conducted with older Veterans with SMI (n = 3) and clinical staff serving this population (directors: n = 3; clinicians: n = 15, k = 3) to elicit feedback on the perceived feasibility and acceptability of the preliminary program and recommendations for modifications to the program. Rapid analysis was used to summarize transcripts of audio-recorded interviews and focus groups. Results indicated a strong perceived feasibility and acceptability of the preliminary intervention because of how the individualized exercise prescription component (i.e., exercise plan) would be personalized to the Veteran’s preferences and abilities. Clinical staff participants expressed concerns about how the lack of real-time supervision would negatively affect exercise completion. Participants recommended tailoring the home-based exercise delivery and motivational health coaching calls components to each Veteran’s unique context.
Related Topics
Concepts
Schizoaffective disorder
Coaching
Context (archaeology)
Mental illness
Intervention (counseling)
Affect (linguistics)
Mental health
Medicine
Population
Health coaching
Psychology
Exercise prescription
Quality of life (healthcare)
Clinical psychology
Psychiatry
Physical therapy
Nursing
Psychosis
Psychotherapist
Environmental health
Biology
Paleontology
Communication
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/ijerph22020191
- OA Status
- gold
- Cited By
- 2
- References
- 47
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406929457
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406929457Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/ijerph22020191Digital Object Identifier
- Title
-
“One Size Doesn’t Fit All”: Design Considerations for an Exercise Program to Improve Physical Function in Older Veterans with Serious Mental IllnessWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-29Full publication date if available
- Authors
-
Julia Browne, Whitney L. Mills, Courtney T. Lopez, Noah S. Philip, Katherine S. Hall, Alexander S. Young, Kate M. Guthrie, Wen‐Chih WuList of authors in order
- Landing page
-
https://doi.org/10.3390/ijerph22020191Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.3390/ijerph22020191Direct OA link when available
- Concepts
-
Schizoaffective disorder, Coaching, Context (archaeology), Mental illness, Intervention (counseling), Affect (linguistics), Mental health, Medicine, Population, Health coaching, Psychology, Exercise prescription, Quality of life (healthcare), Clinical psychology, Psychiatry, Physical therapy, Nursing, Psychosis, Psychotherapist, Environmental health, Biology, Paleontology, CommunicationTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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47Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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