Observational studyPloS one2026
Getting psychiatry on the move-Implementation and evaluation of Braining, a structured physical exercise intervention in outpatient psychiatry: A convergent-parallel mixed methods study.
Observational study in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05111756 (Braining Study - Implementation of Physical Activity for Patients and Staff in Specialist Psychiatry, Feasibility on Pilot Unit and Effect Evaluation in Randomized Controlled Multi-center Study.), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Braining Study - Implementation of Physical Activity for Patients and Staff in Specialist Psychiatry, Feasibility on Pilot Unit and Effect Evaluation in Randomized Controlled Multi-center Study.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical exercise can improve mental health outcomes, yet patients with mental illness often require structured support. Braining is a 12-week structured physical exercise intervention developed within Swedish outpatient psychiatry as a clinical package. Although preliminary unpublished findings suggest positive patient outcomes, its implementation within psychiatric services has not previously been evaluated. This study aimed to explore and explain healthcare workers' perceptions of the acceptability, appropriateness, and feasibility of Braining in an outpatient psychiatric setting to inform future implementation efforts.
methodsA convergent parallel mixed-methods design was used with healthcare workers from outpatient psychiatry units specialising in substance use disorders. Quantitative data from the Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure were collected at 1, 4, and 12 months and analysed descriptively. Qualitative data from three focus group discussions with eight Braining team members at 4 and 12 months were analysed abductively using qualitative content analysis.
resultsAcceptability, appropriateness, and feasibility ratings remained favourable over 12 months (≥16/20). Qualitative findings reflected participants' positive views on Braining's relevance for patients, its fit with clinical workflows, and its support for interprofessional collaboration. Participants perceived improvements in patients' quality of life, benefits of joint staff-patient exercise sessions, and enhanced social connectedness. Reported barriers included variable engagement among healthcare workers outside the Braining team and challenges in reaching younger patients.
conclusionsBraining was perceived by healthcare workers as acceptable, appropriate, and feasible in outpatient psychiatry, with sustained implementation outcomes linked to its adaptable design, team delivery, and organisational support. As a formative evaluation, the findings reflect perceived relevance rather than effectiveness, highlighting the need for strategies to enhance equitable reach and sustainability. TRIAL REGISTRATION NUMBER: NCT05111756.
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