Mums on the Move: A pilot randomised controlled trial of a home-based physical activity intervention for mothers at risk of postnatal depression

Teychenne, Megan; Abbott, Gavin; Stephens, Lena D.; Opie, Rachelle; Olander, Ellinor K.; Brennan, Leah; Pligt, Paige van der; Apostolopoulos, Maria; Ball, Kylie

doi:10.1016/j.midw.2020.102898

Cited by 38 publications

(60 citation statements)

References 49 publications

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“…77,78 In Haller et al, 64 a sports therapist supervised the intervention group, and the dropout rate was 21% (3/14), while all controls completed the study. The participants in Teychenne et al 23 received logbooks for goal setting and self-monitoring, access to an online forum for social support (facilitated by a research assistant with a Ph.D. in behavioral epidemiology) and web app access (purposely designed by the research team to provide motivational and informational material). The sessions were not supervised by an exercise professional.…”

Section: Discussionmentioning

confidence: 99%

“…-Promote studies involving men with depressive and anxiety disorders, since they are very poorly represented in the literature. Haller 64 Some concerns Low Low Some concerns Low Some concerns Huberty 27 Low High High Some concerns Low High Teychenne 23 Low Low High Some concerns Some concerns High D1 = randomization process; D2 = deviations from the intended intervention -effect of assignment to intervention; D3 = missing outcome data; D4 = outcome measurement; D5 = selection of the reported results.…”

Section: Discussionmentioning

confidence: 99%

“…Web-based interventions include website, mobile app, and email-based interventions 20 and can be used to support people who do not seek help from health services due to social stigma 21 or transportation problems. 22 These interventions prescribe a structured exercise program that is performed at home 23 with varying degrees of supervision, differing from interventions that only focus on motivating people to exercise. 24 These interventions provide inexpensive and time-saving alternatives to in loco exercise programs, 25 , 26 and the programs can vary from yoga 27 to aerobic-based exercise, 23 although little is known regarding dosage, i.e., recommendations about frequency, intensity and volume do not depart from generic exercise recommendations.…”

Section: Introductionmentioning

confidence: 99%

“… 22 These interventions prescribe a structured exercise program that is performed at home 23 with varying degrees of supervision, differing from interventions that only focus on motivating people to exercise. 24 These interventions provide inexpensive and time-saving alternatives to in loco exercise programs, 25 , 26 and the programs can vary from yoga 27 to aerobic-based exercise, 23 although little is known regarding dosage, i.e., recommendations about frequency, intensity and volume do not depart from generic exercise recommendations. 28 To our knowledge, there are no clear guidelines about prescribing web-based exercise interventions to people with depressive or anxiety disorders.…”

Section: Introductionmentioning

confidence: 99%

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Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials

Carneiro

Rosenbaum

Ward

et al. 2022

Braz. J. Psychiatry

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Objective: The number of people suffering from depression and/or anxiety has increased steadily due to the coronavirus disease 2019 (COVID-19) pandemic. In this context, web-based exercise interventions have emerged as a potential treatment strategy. The objective of this study was to synthetize evidence from randomized controlled trials regarding the effects of web-based exercise interventions on patients with depressive and/or anxiety disorders. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Six databases were searched (Cochrane Library, EBSCO, PubMed, SciELO, Scopus, and Web of Science), and eligible articles were identified according to a PICOS inclusion-exclusion approach (participants with depressive or anxiety disorders; web-based exercise interventions; active or passive control group; assessment of changes in depressive or anxiety disorders; randomized design). Primary outcomes were depressive and/or anxiety symptoms. The quality of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation. Results: Of 7,846 search results, three studies met the inclusion criteria (172 participants between 18 and 65 years of age, 95.9% women). The web-based exercise interventions lasted 8-12 weeks and involved endurance training, yoga, or combined endurance and strength training. The comparators involved non-exercise controls or active controls. Compliance rates were low. Web-based exercise interventions were not superior to controls regarding anxiety symptoms, and only one study found benefits for depressive symptoms (p p 0.05). The quality of the cumulative evidence was low. Conclusion:The available data regarding the effects of web-based exercise interventions on depression and/or anxiety symptoms is scarce, the risk of bias is high, and the quality of the cumulative results is low. Currently, no clear recommendations can be provided. Registration number: PROSPERO CRD42021225938.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials

Carneiro

Rosenbaum

Ward

et al. 2022

Braz. J. Psychiatry

View full text Add to dashboard Cite

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“…In a recent review, only three studies were included [15]. Two studies could not demonstrate an improvement of depressive symptoms compared to the control condition [19, 27], while one study demonstrated a favorable effect of web-based yoga [28]. Haller et al [19] demonstrated improvements in self-efficacy, quality of life and performance variables after a mixed endurance/resistance training intervention.…”

Section: Web-based Exercise – Attitudes Challenges and Evidencementioning

confidence: 99%

Web-based exercise therapy for the treatment of depression

Haller

2022

Sports Psychiatry

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Factors relating to sustainability and scalability of the ‘Food, Move, Sleep (FOMOS) for Postnatal Mental Health’ program: Qualitative perspectives from key stakeholders across Australia

Teychenne

Apostolopoulos

France-Ratcliffe

et al. 2023

Health Prom J of Aust

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Issue AddressedSupporting healthy behaviours (quality diet, physical activity, sleep) through home‐based interventions is feasible to improve postnatal mental health. Involving stakeholders in developing interventions is essential for maximising accessibility, implementation and scale‐up. This study aimed to identify factors affecting the sustainable implementation and scalability of the Food, Move, Sleep (FOMOS) for Postnatal Mental Health program, including strategies to enhance research‐practice translation.MethodsStakeholders (n = 13) involved in promoting physical activity, healthy eating, postnatal and mental health, public health and/or policy participated in semi‐structured interviews. Interviews, based on PRACTIS Guide recommendations for implementation and scale‐up, explored perceptions of program design, implementation and scalability. Reflexive thematic analysis was undertaken. Identified implementation and scale‐up strategies were mapped against the Expert Recommendations for Implementing Change compendium and PRACTIS Guide.ResultsIndividual‐level: Targeting multiple systems (primary, tertiary, community‐based care) and entry points (early, mid‐postpartum) for uptake was important. For equity, screening women in public hospitals, engaging with community agencies and targeting most at‐risk women, was suggested. Provider‐level: Stakeholders identified strategies to enhance future roll‐out (organisations assisting with recruitment). Factors impacting sustainability included high demand for the FOMOS program, and governance around screening and funding; online delivery, connecting with partners and providers and integration into existing services may enhance sustainability. Systems‐level: Political support and community champions were perceived important for program dissemination. Nine strategies addressing program uptake, reach, implementation, potential scalability and sustainability were identified.ConclusionsFor sustainable implementation and potential scalability of a home‐based multi‐behaviour postnatal intervention, multi‐level implementation and scale‐up strategies, aligned with existing health systems, policies and initiatives to support postnatal mental health should be considered.So What?This paper provides a comprehensive list of strategies that can be used to enhance sustainable implementation and scalability of healthy behaviour programs targeting postnatal mental health. Further, the interview schedule, systematically developed and aligned with the PRACTIS Guide, may serve as a useful resource for researchers conducting similar studies in future.

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Mums on the Move: A pilot randomised controlled trial of a home-based physical activity intervention for mothers at risk of postnatal depression

Cited by 38 publications

References 49 publications

Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials

Web-based exercise interventions for patients with depressive and anxiety disorders: a systematic review of randomized controlled trials

Web-based exercise therapy for the treatment of depression

Factors relating to sustainability and scalability of the ‘Food, Move, Sleep (FOMOS) for Postnatal Mental Health’ program: Qualitative perspectives from key stakeholders across Australia

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