Developing a theory-driven framework for a football intervention for men with severe, moderate or enduring mental health problems: a participatory realist synthesis. (3rd May 2020)

• Record Type: Journal Article
• Authors: Such, Elizabeth; Burton, Hannah; Copeland, Robert James; Davies, Richard; Goyder, Elizabeth; Jeanes, Ruth; Kesterton, Sue; Mackenzie, Kelly; Magee, Jonathan
• Is Part Of: Journal of mental health. Volume 29:Number 3(2020)
• Page Start: 277
• Page End: 288
• Publication Date: 2020-05-03
• Subjects: football -- mental health -- adjunct therapy -- physical activity -- recovery -- gender -- realist; Mental health -- Periodicals; Mental health services -- Periodicals; 362.2
• DOI: 10.1080/09638237.2019.1581339
• Languages: English
• ISSNs: 0963-8237

Abstract

Abstract: Background: Physical activity interventions are an important adjunct therapy for people with severe to moderate and/or enduring mental health problems. Football is particularly popular for men in this group. Several interventions have emerged over the past decade and there is a need to clearly articulate how they are intended to work, for whom and in what circumstances. Aims: To develop a theory-driven framework for a football intervention for men with severe, moderate and/or enduring mental health problems using a participatory realist approach. Methods: A participatory literature review on playing football as a means of promoting mental health recovery with a realist synthesis. It included the accounts and input of 12 mental health service users and the contributions of other stakeholders including football coaches and occupational therapists. Results: Fourteen papers were included in the review. Analysis revealed that interventional mechanisms were social connectedness, identity security, normalising experiences and positive affectivity. These supported mental health recovery. Outcomes were moderated by social stigma and several interventional factors such as over-competitiveness. Conclusions: The context mechanism outcome configuration framework for these interventions map well onto social models of mental health recovery and provide insight into how they work. This now requires testing.