- Title
- Engaging youth with major depression in an exercise intervention with motivational interviewing
- Creator
- Nasstasia, Yasmina; Baker, Amanda; Lewin, Terry; Halpin, Sean; Hides, Leanne
- Date
- 2019
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/183341
- Identifier
- vital:16290
- Identifier
-
https://doi.org/10.1016/j.mhpa.2019.100295
- Identifier
- ISBN:1755-2966 (ISSN)
- Abstract
- Background: Exercise has beneficial effects on depression; however, research is constrained by low program adherence. This paper investigates: 1) whether there are improvements in stage of change (exercise readiness) and exercise self-efficacy from before to after a brief motivational interviewing (MI) intervention designed to enhance program engagement among youth with major depressive disorder (MDD); and 2) any prospective association between baseline stage of change (exercise readiness) category and exercise program participation, retention and treatment outcomes. Methods: Selected pre- versus post-intervention and related secondary analyses based on pooled data from an initial pilot (n = 14) and subsequent two-armed RCT (n = 68). Participants were aged 15–25 years and met diagnostic criteria for MDD. Following psychological and physical fitness assessments, participants in the active treatment condition received a brief MI intervention followed by a supervised 12-week multi-modal exercise intervention. Results: Higher initial exercise readiness was significantly related to baseline weekly exercise participation and self-efficacy, with trend-level associations with behavioural activation. There was a trend level differential improvement in exercise readiness post MI, and a significant increase in self-efficacy among the intervention group. Post MI self-efficacy was also correlated with increased exercise participation. Clear post-intervention benefits were detected for most outcome measures; however, these were not differential by baseline stage of change category. Conclusion: Early MI based interventions increase exercise readiness and enhance self-efficacy, which may promote increased engagement and exercise adherence. Integrating MI as a prelude to exercise intervention shows promise as an effective engagement and treatment strategy among youth with MDD. © 2019 Elsevier Ltd. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Yasmina Nasstasi” is provided in this record**
- Publisher
- Elsevier Ltd
- Relation
- Mental Health and Physical Activity Vol. 17, no. (2019), p.
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- Copyright © 2019 Elsevier Ltd. A
- Subject
- 5203 Clinical and Health Psychology; 4206 Public Health; 4207 Sports Science and Exercise; Depression; Exercise; Motivational interviewing; Self-efficacy; Stage of change; Youth
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