Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component

This paper reports the qualitative component from a pragmatic randomized controlled trial (PRCT), the quantitative component is reported in Callaghan, Khalil, Morres and Carter (2011). Exercise may be effective in treating depression, but trials testing its effect in depressed women are rare. Our pr...

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Main Authors: Khalil, Elizabeth, Callaghan, Patrick, Carter, Tim, Morres, Ioannis
Format: Article
Published: Scientific Research Publishing 2012
Online Access:https://eprints.nottingham.ac.uk/2891/
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author Khalil, Elizabeth
Callaghan, Patrick
Carter, Tim
Morres, Ioannis
author_facet Khalil, Elizabeth
Callaghan, Patrick
Carter, Tim
Morres, Ioannis
author_sort Khalil, Elizabeth
building Nottingham Research Data Repository
collection Online Access
description This paper reports the qualitative component from a pragmatic randomized controlled trial (PRCT), the quantitative component is reported in Callaghan, Khalil, Morres and Carter (2011). Exercise may be effective in treating depression, but trials testing its effect in depressed women are rare. Our previous research found that standard exercise programmes, prescribed by General Practitioners and based on national guidelines of intensity levels thought to produce health benefits, are not suitable for this group, as they find them discouraging and lonely, with many dropping out very early on. Exercise that is matched to participants’ preferred intensity improves mental health outcomes and attrition rates. Our aim was to develop such a programme. This study addressed the question: does mentored exercise of preferred intensity lead to better psychological, physiological and social wellbeing outcomes and improved adherence rates when compared with exercise of prescribed intensity in 38 depressed women? Focus groups were conducted with participants from both arms of the study, to explore their experience of the exercise programme and to gather information that might help to explain the quantitative outcomes, a technique recommended by previous researchers conducting pragmatic trials. Women in the experimental programme experienced a statistically significant improvement in their mood, physical health, sense of wellbeing, self-esteem and quality of life. They reported achieving these gains via a positive experience which encouraged continued attendance. In contrast, women who received the “exercise as usual” programme experienced no significant benefits, were less likely to continue attending, and markedly less enthusiastic.
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spelling nottingham-28912020-05-04T20:21:14Z https://eprints.nottingham.ac.uk/2891/ Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component Khalil, Elizabeth Callaghan, Patrick Carter, Tim Morres, Ioannis This paper reports the qualitative component from a pragmatic randomized controlled trial (PRCT), the quantitative component is reported in Callaghan, Khalil, Morres and Carter (2011). Exercise may be effective in treating depression, but trials testing its effect in depressed women are rare. Our previous research found that standard exercise programmes, prescribed by General Practitioners and based on national guidelines of intensity levels thought to produce health benefits, are not suitable for this group, as they find them discouraging and lonely, with many dropping out very early on. Exercise that is matched to participants’ preferred intensity improves mental health outcomes and attrition rates. Our aim was to develop such a programme. This study addressed the question: does mentored exercise of preferred intensity lead to better psychological, physiological and social wellbeing outcomes and improved adherence rates when compared with exercise of prescribed intensity in 38 depressed women? Focus groups were conducted with participants from both arms of the study, to explore their experience of the exercise programme and to gather information that might help to explain the quantitative outcomes, a technique recommended by previous researchers conducting pragmatic trials. Women in the experimental programme experienced a statistically significant improvement in their mood, physical health, sense of wellbeing, self-esteem and quality of life. They reported achieving these gains via a positive experience which encouraged continued attendance. In contrast, women who received the “exercise as usual” programme experienced no significant benefits, were less likely to continue attending, and markedly less enthusiastic. Scientific Research Publishing 2012-11 Article PeerReviewed Khalil, Elizabeth, Callaghan, Patrick, Carter, Tim and Morres, Ioannis (2012) Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component. Psychology, 3 (11). pp. 979-986. ISSN 2152-7180 http://www.scirp.org/journal/PaperInformation.aspx?paperID=24917 doi:10.4236/psych.2012.311147 doi:10.4236/psych.2012.311147
spellingShingle Khalil, Elizabeth
Callaghan, Patrick
Carter, Tim
Morres, Ioannis
Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component
title Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component
title_full Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component
title_fullStr Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component
title_full_unstemmed Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component
title_short Pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component
title_sort pragmatic randomised controlled trial of an exercise programme to improve wellbeing outcomes in women with depression: findings from the qualitative component
url https://eprints.nottingham.ac.uk/2891/
https://eprints.nottingham.ac.uk/2891/
https://eprints.nottingham.ac.uk/2891/