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Physical InactivityNCT05111756

Braining - Physical Exercise in Psychiatry - Evaluation of Feasibility, Implementation and Health Among Staff

An observational study of Physical Inactivity and Occupational Stress, run by Region Stockholm at 1 site in Sweden.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Physical exercise (PE) shows beneficial effects on somatic and psychiatric symptoms. "Braining" is a clinical invention where psychiatric staff exercise together with patients to help patients start and execute PE regularly. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Physical Inactivity, Occupational Stress
How many people
49 participants
Where
1 siteSweden
Study dates
2 Dec 2021to 13 Jan 2026
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Staff of a psychiatric care unit

Who may be able to join

  • Works at one of the relevant units regardless of occupational category, including administrative services.
  • Permanent employment or fixed-term employment for at least one more year after the start of studies.

Who cannot join

  • Medical conditions such as heart or lung disease, infection, abstinence where heart rate-increasing physical activity is considered contraindicated due to Medical reasons.
  • Full-time sick leave> 1 month during the training period

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Region Stockholm, Liljeholmsberget

    Stockholm

Other trials in Sweden

About this study

Official title: 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.

Physical exercise (PE) shows beneficial effects on somatic and psychiatric symptoms. "Braining" is a clinical invention where psychiatric staff exercise together with patients to help patients start and execute PE regularly. In the present study feasibility of the intervention will be evaluated, how Braining is perceived and implemented, and effects on health and physical activity among staff. It is hypothesized that staff health and physical activity will increase after implementing Braining at the unit. Braining will be implemented at four psychiatric units in Region Stockholm, Sweden. During 6 months staff will be trained and receive implementation support. To measure feasibility the staff will answer self-rating questionnaires and be invited to a focus group interview post the implementation period. Implementation will be evaluated by ratings of compliance, the self-rating questionnaire Normalization Process Theory Measure (S-NoMAD), and focus group interviews. Health will be measured by self ratings of stress, sleep, general health, and engagement pre implementation and every month during the 6 month implementation phase. Ratings will be repeated at follow up 12 month after implementation started. Physical activity will be rated during the 6 months implementation phase using a tracker of activity and at follow up 12 month after implementation started. All staff at the units will be invited to participate in the evaluations, approximately 20 individuals per unit.

Read the detailed description

"Braining" is a clinical invention that helps patients in psychiatry to start and execute physical exercise (PE) regularly in psychiatric care. The core components are basic high performance group training session and motivational work led by the psychiatric staff. Braining is used as add-on treatment to regular psychiatric care and is included in the patient care plan. Braining is unique in that it:

  1. Includes trained psychiatric clinical staff exercising together with patients from both out- and inpatient ward units in daily, high endurance group training sessions
  2. is included in regular healthcare fee, (free of charge)
  3. includes a motivational and educational visit (as a group seminar or as an individual visit) at the start and end of a twelve week training period
  4. includes regular measurements (self-assessment questionnaires, blood samples, physical and mental health examination and education before and after the twelve week training period)
  5. offers short individual motivating visits before every training session, including assessment of day shape and fitness to participate.

In the present study focus is on the feasibility of the intervention, how Braining is perceived and implemented, and effects on health and physical activity among staff. The research questions are:

  • How do staff experience Braining regarding acceptability, applicability and suitability?
  • Is there a correlation between the staff's work with Braining and occupational health, measured as performed PE, perceived stress, and general health?
  • Is there a correlation between the staff's work with Braining and occupational health, measured as exhaustion, sleep, sick leave, and job engagement?
  • Is there a significant interaction effect between change over time in occupational health, measured with PSS-10 and GHQ, and participation in Braining sessions according to "Ratings of Braining sessions"?
  • Is there a significant interaction effect between change over time on physical activity measured with Actigraph and IPAQ and participation in Braining sessions according to "Ratings of Braining sessions"?
  • Is there an interaction effect between physical activity measured with Actigraph and IPAQ and occupational health measured with PSS-10 and GHQ?
  • Does Braining have a specific effect for staff who during baseline rate over cut-off on GHQ and PSS-10 respectively?
  • How compliant are staff to the Braining method in the sense of number completed training sessions, quality of completed sessions, compliance with the core components of the method?
  • To what extent is Braining integrated into ordinary work at the unit in short (6 months) and long term (1 and 2 years)?

Braining is to be implemented at 4 psychiatric care units the upcoming years starting nov 2021. Approximately 20 personnel on each unit will be included. Planned design is a longitudinal pre-post study with four measurements during ongoing intervention (weeks 1, 4, 8 and 12) and two follow-ups (6 months and 12 months post inclusion). Improved design with three baseline observation (data points) and possible interrupted time series design, (ITSD). Relationships between the staff's work with Braining and their own occupational health are examined self-estimates, see list. Physical activity level is measured with activity tracker before training and measured throughout the 6 months and at follow-up after 12 months.

Experience of the implementation process is evaluated with S-NoMAD, which is administered at two occasions during the intervention, after completion and at follow-up after 2 years. Staff experience of working with Braining is examined with self-assessments and in focus group interviews after the end of the intervention. Staff compliance with Braining is evaluated based on a checklist where data is collected through weekly follow-ups of the work on the unit as well as observation of completed training sessions.

Data analysis Qualitative analysis: Recorded material from focus group interviews is transcribed and analyzed based on the thematic analysis method according to Braun \& Clarke et al 2006). The method aims to understand the individual's perspective in relation to a particular phenomenon and is often used as an inductive hypothesis-generating approach.

Continuous data will be analyzed using mixed effects models or t-test, nominal data analyzed mainly with chi2 test. In mixed effects models of differences between groups the interaction effect of group and time will be the central estimate.

Keywords
physical exercise, psychiatric staff, Occupational Stress, implementation, feasibility
Medical subject headings
Sedentary Behavior, Occupational Stress, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT05111756
Study groupRoleWhat they receive
Unit AStaff at first phase units, receiving Braining, physical exercise
Unit BStaff at second phase units, receiving Braining, physical exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Minutes spent on Physical movement (high, moderate, low)

    Physical exercise conducted by staff, measured by actigraph

    Measured: Change from baseline to follow up observation 6 months after inclusion

  2. Minutes spent on Physical movement self rated (high, moderate, low)

    Physical exercise conducted by staff, measured by self ratings of International Physical Activity Questionnaires (IPAQ)

    Measured: Change from baseline to follow up observation 6 months after inclusion

  3. General health

    General health measured by self ratings of General health questionnaire (GHQ), scores 0-12, higher scores indicates more mental distress

    Measured: Change from baseline to follow up observation 6 months after inclusion

  4. Perceived stress

    Perceived stress measured by self ratings of Perceived stress scale (PSS-10), , scores 0-40, higher scores indicates more mental distress

    Measured: Change from baseline to follow up observation 6 months after inclusion

  5. Perceived feasibility of Intervention

    Feasibility measured by self ratings of Feasibility of Intervention Measure (FIM)

    Measured: 1 month after implementation start

  6. Perceived feasibility of Intervention

    Feasibility measured by self ratings of Feasibility of Intervention Measure (FIM)

    Measured: 6 months after implementation start

  7. Acceptability of Intervention

    Acceptability measured by self ratings of Acceptability of Intervention Measure (AIM)

    Measured: 1 month after implementation start

  8. Acceptability of Intervention

    Acceptability measured by self ratings of Acceptability of Intervention Measure (AIM)

    Measured: 6 months after implementation start

  9. Intervention Appropriateness

    Intervention Appropriateness measured by self ratings of Intervention Appropriateness Measure (IAM)

    Measured: 1 month after implementation start

  10. Intervention Appropriateness

    Intervention Appropriateness measured by self ratings of Intervention Appropriateness Measure (IAM)

    Measured: 6 months after implementation start

  11. Compliance to intervention

    Compliance to intervention measured by weekly observations and reports of performed training activities

    Measured: Summary of compliance 6 months after implementation start

  12. Normalization of intervention

    Normalization of intervention measured by The Swedish version of the Normalization Process Theory Measure (S-NoMAD)

    Measured: 6 months after implementation start

  13. Normalization of intervention

    Normalization of intervention measured by The Swedish version of the Normalization Process Theory Measure (S-NoMAD)

    Measured: 1 year after implementation start

  14. Normalization of intervention

    Normalization of intervention measured by The Swedish version of the Normalization Process Theory Measure (S-NoMAD)

    Measured: 2 years after implementation start

  15. Qualitative interviews

    Qualitative interviews concerning acceptability, feasibility, appropriateness, compliance and normalization of the intervention

    Measured: After the implementation phase i.e., 6 months after implementation start

Secondary outcomes (14)
  1. Burnout

    Burnout measured by self ratings of Burnout Shirom-Melamed Burnout Questionnaire (SMBQ-6), scores 6-42, higher scores indicates more burnout symptoms

    Measured: Change from baseline to follow up observation 6 months after inclusion

  2. Burnout

    Burnout measured by self ratings of Burnout Shirom-Melamed Burnout Questionnaire (SMBQ-6), scores 6-42, higher scores indicates more burnout symptoms

    Measured: Follow up 12 months after inclusion

  3. Sleep difficulties

    Sleep difficulties measured by self ratings of Insomnia Severity Index (ISI), , scores 0-28, higher scores indicates more sleep difficulties

    Measured: Change from baseline to follow up observation 6 months after inclusion

  4. Sleep difficulties

    Sleep difficulties measured by self ratings of Insomnia Severity Index (ISI), , scores 0-28, higher scores indicates more sleep difficulties

    Measured: Follow up 12 months after inclusion

  5. Work and illness

    Work and illness measured by section C of Treatment Inventory of Costs in Patients with psychiatric disorders (TIC-P)

    Measured: Change from baseline to follow up observation 6 months after inclusion

  6. Work and illness

    Work and illness measured by section C of Treatment Inventory of Costs in Patients with psychiatric disorders (TIC-P)

    Measured: Follow up 12 months after inclusion

  7. Engagement at work

    Engagement at work measured by Utrecht work engagement scale (UWES-9S), scores 0-54, higher scores indicates more work engagement

    Measured: Change from baseline to follow up observation 6 months after inclusion

  8. Engagement at work

    Engagement at work measured by Utrecht work engagement scale (UWES-9S), scores 0-54, higher scores indicates more work engagement

    Measured: Follow up 12 months after inclusion

  9. Minutes spent on Physical movement (high, moderate, low)

    Physical exercise conducted by staff, measured by actigraph

    Measured: Follow up observation 12 months after inclusion

  10. Minutes spent on Physical movement (high, moderate, low)

    Physical exercise conducted by staff, measured by self ratings of International Physical Activity Questionnaires (IPAQ)

    Measured: Follow up 12 months after inclusion

  11. General health

    General health measured by self ratings of General health questionnaire (GHQ), scores 0-12, higher scores indicates more mental distress

    Measured: Follow up 12 months after inclusion

  12. Perceived stress

    Perceived stress measured by self ratings of Perceived stress scale (PSS-10), , scores 0-40, higher scores indicates more mental distress

    Measured: Follow up 12 months after inclusion

  13. Ratings of Braining sessions

    Self constructed questions where staff rate how many Braining sessions they have attended per week.

    Measured: During the period intervention start to 6 months follow up

  14. Ratings of Braining sessions

    Self constructed questions where staff rate how many Braining sessions they have attended per week.

    Measured: During the period 6 months follow up to 12 months follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2021
  2. Study start2 Dec 2021
  3. Primary completion30 May 2025
  4. Study completion13 Jan 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
49 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05111756
Sponsor's protocol ID
Braining - personell
Status last verified
Feb 2026
First submitted
22 Oct 2021
Last updated
20 Aug 2026
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Mac R, Saliba-Gustafsson EA, Anger A, Sundberg CJ, Martinsson L, Bergstrom A, Salomonsson S. Getting psychiatry on the move-Implementation and evaluation of Braining, a structured physical exercise intervention in outpatient psychiatry: A convergent-parallel mixed methods study. PLoS One. 2026 May 21;21(5):e0348234. doi: 10.1371/journal.pone.0348234. eCollection 2026.

    PubMed 42166459

Questions about this trial

What is this clinical trial studying?

An observational study of Physical Inactivity and Occupational Stress, run by Region Stockholm at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Minutes spent on Physical movement (high, moderate, low) (time frame: Change from baseline to follow up observation 6 months after inclusion). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05111756, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Aug 2026.

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