Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol

Introduction People who are homeless, or at risk of homelessness, have substantially poorer health. Sustained and regular participation in physical activity is beneficial for both mental and physical health. Limited data suggest that levels of physical activity in the homeless and those at risk of h...

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Main Authors: Sarah E Jackson, Lee Smith, Charlotte Stringer, Mike Loosemore, Eloise Moller, Guillermo Felipe López-Sánchez, Joseph Firth, James Johnstone, Brendon Stubbs, Davy Vancampfort
Format: Article
Language:English
Published: BMJ Publishing Group 2019-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/3/e026466.full
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author Sarah E Jackson
Lee Smith
Charlotte Stringer
Mike Loosemore
Eloise Moller
Guillermo Felipe López-Sánchez
Joseph Firth
James Johnstone
Brendon Stubbs
Davy Vancampfort
author_facet Sarah E Jackson
Lee Smith
Charlotte Stringer
Mike Loosemore
Eloise Moller
Guillermo Felipe López-Sánchez
Joseph Firth
James Johnstone
Brendon Stubbs
Davy Vancampfort
author_sort Sarah E Jackson
collection DOAJ
description Introduction People who are homeless, or at risk of homelessness, have substantially poorer health. Sustained and regular participation in physical activity is beneficial for both mental and physical health. Limited data suggest that levels of physical activity in the homeless and those at risk of homelessness are low, and access to community-based exercise is limited or non-existent for this population. Nonetheless, exercise programmes for the homeless could provide a feasible and scalable intervention for providing beneficial effects on physical and mental health in this population. The primary aim of this study is to evaluate the impact of a group exercise intervention on activity levels in people who are homeless or at risk of homelessness in central London, UK. The secondary aim is to evaluate the impact of the intervention on mental and physical health outcomes.Method and analysis A 2-arm, individually randomised controlled trial in people who are homeless and those vulnerable and at risk of homelessness in central London, UK. Participants will be recruited through a London-based homeless charity, Single Homeless Project. Following baseline assessments and allocation to intervention (exercise classes) or control (usual care), participants will be followed up at 3, 6, 9 and 12 months. The primary outcomes will be change in objective physical activity. The secondary outcomes will include change in fitness assessments and mental health parameters. Changes in drug use and alcohol dependency will also be explored.Ethics and dissemination Ethical approval to process and analyse data and disseminate findings was obtained through the Anglia Ruskin University Department of Sport and Exercise Sciences Research Ethics Committee. Results of this study will be disseminated through peer-reviewed publications and scientific presentations.
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spelling doaj-art-b54776a58a244f8fa38d0c41cb9dc3662025-02-11T14:20:12ZengBMJ Publishing GroupBMJ Open2044-60552019-03-019310.1136/bmjopen-2018-026466Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocolSarah E Jackson0Lee Smith1Charlotte Stringer2Mike Loosemore3Eloise Moller4Guillermo Felipe López-Sánchez5Joseph Firth6James Johnstone7Brendon Stubbs8Davy Vancampfort9SPECTRUM Consortium, Edinburgh, UK2 The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK1 The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK2Sports and Wellbeing Analytics, Swansea, UK3 The Single Homeless Project, London, UK5 Faculty of Sport Science, University of Murcia, Murcia, Spain8 Division of Psychology and Mental Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK1 The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UKInstitute of Psychiatry, Psychology, and Neuroscience, King`s College London, London, UK3 Department of Rehabilitation Sciences, University of Leuven, Leuven, BelgiumIntroduction People who are homeless, or at risk of homelessness, have substantially poorer health. Sustained and regular participation in physical activity is beneficial for both mental and physical health. Limited data suggest that levels of physical activity in the homeless and those at risk of homelessness are low, and access to community-based exercise is limited or non-existent for this population. Nonetheless, exercise programmes for the homeless could provide a feasible and scalable intervention for providing beneficial effects on physical and mental health in this population. The primary aim of this study is to evaluate the impact of a group exercise intervention on activity levels in people who are homeless or at risk of homelessness in central London, UK. The secondary aim is to evaluate the impact of the intervention on mental and physical health outcomes.Method and analysis A 2-arm, individually randomised controlled trial in people who are homeless and those vulnerable and at risk of homelessness in central London, UK. Participants will be recruited through a London-based homeless charity, Single Homeless Project. Following baseline assessments and allocation to intervention (exercise classes) or control (usual care), participants will be followed up at 3, 6, 9 and 12 months. The primary outcomes will be change in objective physical activity. The secondary outcomes will include change in fitness assessments and mental health parameters. Changes in drug use and alcohol dependency will also be explored.Ethics and dissemination Ethical approval to process and analyse data and disseminate findings was obtained through the Anglia Ruskin University Department of Sport and Exercise Sciences Research Ethics Committee. Results of this study will be disseminated through peer-reviewed publications and scientific presentations.https://bmjopen.bmj.com/content/9/3/e026466.full
spellingShingle Sarah E Jackson
Lee Smith
Charlotte Stringer
Mike Loosemore
Eloise Moller
Guillermo Felipe López-Sánchez
Joseph Firth
James Johnstone
Brendon Stubbs
Davy Vancampfort
Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol
BMJ Open
title Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol
title_full Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol
title_fullStr Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol
title_full_unstemmed Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol
title_short Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol
title_sort promoting physical activity in vulnerable adults at risk of homelessness a randomised controlled trial protocol
url https://bmjopen.bmj.com/content/9/3/e026466.full
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