Project 1

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Does exercise improve mental health symptoms in patients with psychiatric disorders?

Sara Ali, Jeniffer Elavumkal, Carina Gomez, Jenna Lundquist and Cristina Matias

NR 449

June 20, 2022

Purpose of the Project

Overview and significance

To review primary articles using the EBP process to determine the impact exercise has on mental health and provide recommendations.

BOWLING STAT

“Results showed that mindfulness-based self-efficacy fulfilled a prominent role in mediating meditation and exercise program effects. Findings suggest that mindfulness and exercise training share similar mechanisms that can improve global mental health, including adaptive responses to stress.” (Goldstein et al., 2018, p. 1816)

GRASDALSMOEN STAT

Improvements in depression, anxiety, and stress were all indicated as 5% or greater. The overall well being showed an improvement of just over 2% (Hallam et al., 2018).

HARVEY STAT

Identification of problem

best facts, stats, from everyone, need citations

3 CG- based on the DASS, there was a 8.9% improvement in stress levels, 7.6% in depression and anxiety improved by 5%. overall well being improved by 2.1% (Hallam et al., 2018)

2

ARTICLE 1

Bowling, (2017)

PURPOSE:

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SAMPLE:

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METHODS:

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FINDINGS:

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SYNTHESIS OF FINDINGS:

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Purpose:

Sample: # of Participants 112 pts

Methods (Intervention, Data Collection Methods/Tools

Findings: Participant Characteristics & Key Study Findings

Synthesis of Findings

ARTICLE 2

Goldstein et al., (2018)

PURPOSE:

To determine how meditation and exercise play a role in stress and mental health

SAMPLE:

413 individuals recruited, 390 completed the entire trial

METHODS:

Participants were divided into 3 groups, each group had a different activity (MBSR training, matched exercise training or wait-list control).

Data Collection: Self-Report questionnaires, SF-12, Perceived Stress Scale, MAAS: Mindfulness Attention, MSES: Mindfulness Self-Efficacy, ESES: Exercise Self-Efficacy and GPAQ MET-hours/week

FINDINGS:

Mindfulness and exercise training improved mental health and stress response

SYNTHESIS OF FINDINGS:

Healthcare professionals should utilize mindfulness and exercise in a patient’s plan of care as stress reducers and well-being enhancers. The combination of the two can promote mental well-being.

Females: 76% and Males: 24%

Average age: 49.6 ± 11.6.

Non-Smoker: 93% & Smokers: 7%

White/Caucasian: 85%

Non-Caucasian: 13%

More than 1 race: 2%

College educated: 76.5%

Yearly Income of higher than $50,000 USD: 60%

ARTICLE 3

Grasdalsmoen et al., (2020)

PURPOSE:

SAMPLE:

METHODS:

FINDINGS:

SYNTHESIS OF FINDINGS:

Purpose:

Sample: # of Participants 112 pts

Methods (Intervention, Data Collection Methods/Tools

Findings: Participant Characteristics & Key Study Findings

Synthesis of Findings

ARTICLE 4

Hallam et al., (2018)

PURPOSE:

to determine what impact a step challenge done in a workplace had on mental health and wellbeing

SAMPLE:

1,963 participants from 23 countries, mainly from India and Australia

METHODS:

Tools

DASS, WEMWBS, Step trackers/devices

Data Collected

surveys before and after intervention

daily steps taken

FINDINGS:

Stress levels improved by almost 9%

Depression levels improved by 7.6%

Anxiety levels improved by 5%

SYNTHESIS OF FINDINGS:

Reaching a goal is not as important as the participation itself.

(Hallam et al., 2018).

Purpose:

assess what the impact of doing a 10k step challenge has on a person's mental health

Sample:

there were almost 2000 participants for this study

Age range: 16-74 1,458 men

505 women

Methods (Intervention, Data Collection Methods/Tools

tools used included the DASS, WEMWBS, step trackers

data from the questionnaire were taken before and after the intervention and compared to their daily steps taken, the intervention was participating in a 10k daily step challenge

Findings: Participant Characteristics & Key Study Findings

Synthesis of Findings

hitting a 10k step goal is not as important as just participating in the challenge

ARTICLE 5

Harvey et

PURPOSE:

SAMPLE:

METHODS:

FINDINGS:

SYNTHESIS OF FINDINGS:

Purpose:

Sample: # of Participants 112 pts

Methods (Intervention, Data Collection Methods/Tools

Findings: Participant Characteristics & Key Study Findings

Synthesis of Findings

Nursing Implications

BOWLING

Nursing professionals can implement mindfulness and exercise in care plans and in discharge planning for patients with mental health concerns. This will teach better management of stress and reactions to anxiety provoking scenarios.

GRASDALSMOEN

Participation in a challenge proved to be better than reaching a goal

HARVEY

CG- the study determined that just taking part in the step challenge showed positive results, participants did not need to reach the goal have improvements

References

[Insert Bowling here]

Goldstein, E., Topitzes, J., Brown, R. L., & Barrett, B. (2018). Mediational pathways of meditation and exercise on mental health and perceived stress: A randomized controlled trial. Journal of Health Psychology, 25(12), 1816–1830. https://doi.org/10.1177/1359105318772608

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Hallam, K. T., Bilsborough, S. & de Courten, M. (2018). “Happy feet”: evaluating the benefits of a 100-day 10,000 step challenge on mental health and wellbeing. BMC Psychiatry, 18(1), 19-19. https://doi.org/10.1186/s12888-018-1609-y

[Insert Harvey Here]

Questions?