Effectiveness of mobile-based progressive and fixed physical activity on depression, stress, anxiety, and quality of life outcomes among adults in South Korea: Randomized controlled trial (Preprint)

Abstract

Depression acts as a significant obstacle to the overall well-being of Individuals. The influence of this phenomenon goes much beyond temporary sensations of grief or despondency, deeply affecting the core of one's everyday existence. Given the significant consequences of these effects, taking early action becomes essential. Timely recognition and proactive steps to manage symptoms of depression not only reduce personal distress but also play a crucial role in reducing its far-reaching impact on society as a whole.

In response to this concern, the objective of this study was to explore the use of mobile-based interventions as a possible remedy. More specifically, the purpose of this study was to investigate the effectiveness of two types of physical activity, progressive and fixed, within a mobile-based app on depression, perceived stress, anxiety, physical health, and psychological health, aiming to contribute to the optimization of mental health benefits.

Participants (N = 60; Mean age = 25.29 [SD = 6.10]) were recruited using a combination of online and offline methods, and the study lasted for 8 weeks. The baseline and post-test questionnaires were administered to all participants. The participants were randomly assigned to one of three groups: progressive group (N = 20; performing mobile-based progressive physical activity), fixed group (N = 20; performing mobile-based fixed intensity physical activity), and control group C (N = 20). Data analysis involved comparing scores between the experimental and control groups using a one-way analysis of variance (ANOVA), paired sample t-tests, and repeated measures analysis of variance with a 3 (group) × 2 (time) design.

This study revealed that the progressive physical activity group showed significant reductions in depression (F1, 37 = 6.51, p < 0.05, ηp2 = 0.15) and perceived stress (F1, 37 = 4.98, p < 0.05, ηp2 = 0.12) compared to the control group. Similarly, the fixed physical activity group exhibited significant reductions in depression (F1, 38 = 5.36, p < 0.05, ηp2 = 0.12), perceived stress (F1, 38 = 7.81, p < 0.01, ηp2 = 0.17), and general anxiety disorder (F1, 38 = 5.45, p < 0.05, ηp2 = 0.13) compared to the control group.

In conclusion, this study underscores the potential of mobile-based physical activity in mitigating the symptoms of depression, perceived stress, and anxiety for adults. The findings offer significant knowledge for mental health professionals and researchers, opening up possibilities for groundbreaking mobile-based therapy focused on physical exercise. These interventions have the potential to assist individuals in improving their mental well-being.

KCT0009100 https://cris.nih.go.kr/cris/search/detailSearch.do?seq=25286&search_page=L