Tobias Lundgren

Research Idea and Aim The overall aim of this project is to plan a study on the implementation of physical training (PT) in psychiatry and to develop methods for sustaining PT among patients over time. By synthesizing previous findings from ongoing studies on the Braining method, which combines aerobic group training with motivational conversations within specialist psychiatry, this project aims to further develop the method for better integration into clinical practice and ensure the long-term increase in patients´ physical activity.Work Plan, Methods, and Execution The work plan includes an initial phase where we compile and analyze previous results to identify needs, success factors and challenges with Braining. We will conduct interviews and workshops with patients, healthcare professionals, and decision-makers to map current barriers and opportunities for implementing PT in psychiatric care. Subsequently, we will develop specific strategies for integrating PT into routine clinical practice, including staff training and adaptation of healthcare environments. The methods encompass both qualitative and quantitative studies to measure adherence, perceived benefits, and effects on the mental and physical health of patients, as well as the work environment of healthcare staff. The project is conducted in collaboration with several psychiatric units within Region Stockholm, where we carry out pilot studies to test and optimize implementation strategies.Social Relevance and Utilization The implementation of PT in psychiatry has the potential to improve the health and quality of life of a large and often vulnerable patient group. By increasing the physical activity levels of patients with mental illness, we can reduce the burden of disease from both mental and somatic disorders, leading to better treatment outcomes and reduced healthcare costs. The project also contributes to improving the working environment for healthcare staff by promoting their physical activity and well-being. In the long term, this may lead to a more sustainable psychiatric care where physical training is an integral part of the treatment offering, with methods ensuring that patients´ increased physical activity is sustained over time.

Research idea and purposeSevere behavioral problems in young children pose a high risk of impairment during childhood as well as later in life. Parent-Child Interaction Therapy (PCIT) is highly effective for children aged 2-7 with severe behavioral problems, likely due to the real-time coaching parents receive from a therapist. However, international studies have identified several implementation challenges. The treatment’s length and the numerous in-clinic sessions have been cited as barriers. Our goal is to develop and evaluate a shortened, internet-based version of PCIT (iPCIT) that we believe will better meet the needs of both the target group and healthcare providers, thereby facilitating its implementation in Sweden. This planning grant is requested to fund a feasibility study and foster collaboration with healthcare providers and patient associations. A future step, beyond this application, includes an effectiveness evaluation of iPCIT in a larger randomized controlled trial.Work plan, methods and project realizationFor the feasibility study, a reference group of stakeholders from health care, social services and service users will be formed to support future implementation. The study will involve 20 families participating in a 10-week iPCIT program, consisting of 10 modules with texts, videos, and exercises to enhance parent-child interaction. These modules will be supplemented by five video sessions where parents receive guidance from a psychologist. Data will be collected before, during, and after the treatment, as well as at 2- and 6-month follow-ups. Feasibility will be assessed based on treatment adherence, perceived credibility, satisfaction, and clinical outcomes. Participants will also be interviewed about their treatment experience. The planning grant will primarily cover personnel costs for a project coordinator, advertising, treatment design, and platform fees.Societal relevance and utilisationUntreated behavioral problems at an early age not only increase vulnerability to individual negative consequences, but also increase the risk of wider societal challenges, such as substance abuse, violence and delinquency. If iPCIT is effective, it is an easily scalable treatment that can improve the well-being and functioning of young children with behavioral problems and, in the long term, reduce the risk of a negative life trajectory.