title: Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial.
abstract: BACKGROUND
  Postnatal depression is a serious mental health problem that may be reduced by exercise.
  
  
  OBJECTIVE
  This study examined the feasibility of an exercise intervention for women with postnatal depression, and assessed which methods of recruitment are most effective.
  
  
  METHODS
  Randomised controlled trial.
  
  
  METHODS
  General practice and the community.
  
  
  METHODS
  Participants were recruited from various sources and randomised to an exercise intervention or usual care with follow-up at 12 weeks. As well as assessing feasibility, other trial outcomes included exercise participation and self-efficacy for exercise. Levels of depression were assessed but the study was not powered to show a difference in this.
  
  
  RESULTS
  The recruitment rate of eligible patients was 23.1%. The highest recruitment rate was via referral from the psychiatric mother and baby unit (9/28; 32.1%), followed by invitation letters from GPs (24/93; 25.8%). Thirty-eight eligible participants were randomised. At follow-up there was no significant difference in exercise participation between groups. The intervention group reported significantly higher self-efficacy for exercise compared to usual care, but depression scores did not differ.
  
  
  CONCLUSIONS
  Exercise participation over the 12-week period was not significantly increased, possibly because it is difficult to motivate women with postnatal depression to exercise, or the intervention was not sufficiently intensive. Eligible patients were recruited into this study but response rates were low. Optimum methods of recruitment in this difficult-to-reach population are required prior to a substantive trial. Further research is imperative given poorly-evidenced recommendations by the National Institute for Health and Clinical Excellence to consider this treatment.
authors.affiliation: Department of Primary Care and General Practice, University of Birmingham, Birmingham, B15 2TT. a.daley@bham.ac.uk
authors.forename: Amanda
authors.initials: A
authors.lastname: Daley
authors.forename: Heather
authors.initials: H
authors.lastname: Winter
authors.forename: Chloe
authors.initials: C
authors.lastname: Grimmett
authors.forename: Mary
authors.initials: M
authors.lastname: McGuinness
authors.forename: Richard
authors.initials: R
authors.lastname: McManus
authors.forename: Christine
authors.initials: C
authors.lastname: MacArthur
mesh_terms: D000328:Adult; D001294:Attitude to Health; D019052:Depression, Postpartum / Q000523:psychology / Q000628:therapy*; D005081:Exercise Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology; D018579:Patient Selection; D010865:Pilot Projects; D016896:Treatment Outcome