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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

Authors

Elizabeth Khalil

Patrick Callaghan

Tim Carter

Ioannis Morres



Abstract

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.

Journal Article Type Article
Publication Date Nov 1, 2012
Journal Psychology
Print ISSN 2152-7180
Electronic ISSN 2152-7180
Publisher Scientific Research Publishing
Peer Reviewed Peer Reviewed
Volume 3
Issue 11
APA6 Citation Khalil, E., Callaghan, P., Carter, T., & Morres, I. (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), doi:10.4236/psych.2012.311147
DOI https://doi.org/10.4236/psych.2012.311147
Publisher URL http://www.scirp.org/journal/PaperInformation.aspx?paperID=24917
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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