Pedometers as an intervention to increase physical activity among individuals with mental illness; a feasibility study

Individuals with serious mental illness are at increased risk for physical health conditions and sedentary lifestyle impacting engagement in meaningful activities. This feasibility study investigated access to and use of a pedometer to increase physical activity. Participants (n = 8) from a community mental health setting were supplied pedometers and provided education, weekly reminders, and support to encourage pedometer use for four weeks. Results showed increased step counts, though no impacts on engagement in daily activities. Participants reported benefits including increased sense of self-sufficiency and independence. For some participants, more frequent tailored reminders and support on how to use the wearable device as well as additional education based on health literacy principles was needed. Access to pedometers along with education and support was acceptable and seems a feasible form of an intervention that can be offered by occupational therapists in collaboration with peer providers or psychiatric rehabilitation practitioners; however, further research can examine benefits and impacts for this population.