Feasibility trial of an unsupervised, facility-based exercise programme for depressed outpatients

Area of Science:

• Mental Health
• Exercise Science
• Clinical Psychology

Background:

• Depression is a prevalent mental health condition impacting quality of life.
• Exercise is a potential non-pharmacological intervention for depression.
• Exercise adherence remains a challenge for individuals with depression.

Purpose of the Study:

• To assess the feasibility of an unsupervised, facility-based exercise program for depressed adult outpatients.
• To explore the impact of physical activity counseling on depressive symptoms and physical activity levels.

Main Methods:

• A 12-week pilot study with two groups: control (fitness center access) and intervention (fitness center access + 6 counseling sessions).
• Feasibility measured by fitness center attendance.
• Outcomes assessed using Beck Depression Inventory (BDI-II) and International Physical Activity Questionnaire (IPAQ).

Main Results:

• Fitness center attendance was low (14% of possible days) and similar between groups.
• No significant differences in IPAQ or BDI-II scores between groups at 12 weeks.
• Increased moderate/vigorous physical activity correlated with decreased depression scores (p < 0.001).

Conclusions:

• An unsupervised fitness center program is not feasible for promoting exercise adherence in depressed outpatients.
• Physical activity counseling did not enhance exercise levels or reduce depression in this pilot study.
• Connecting participants to fitness center resources was the most valued aspect.