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Table 4 Clinical effectiveness of ERS on mental health symptoms

From: Evaluation of the uptake, retention and effectiveness of exercise referral schemes for the management of mental health conditions in primary care: a systematic review

Study details

Outcome measure

Outcome assessment timings

Short-term results ERS vs. C

Long-term results ERS vs. C

Chalder

2012 [29]

Trial

BDI-II

4, 8, 12 months

4 months adjusted between group difference in mean BDI-II score

= -0.54 (95%CI -3.06 to 1.99) P=0.68

Combined 4, 8 and 12 months adjusted between group difference in mean BDI-II score = -1.20 (95%CI -3.42 to 1.02) P=0.29

Murphy 2012 [30]

Trial

HADS

12 months

Did not assess

HADS depression

12 months adjusted between group difference in HADS depression score = -1.39 (95%CI -2.60 to -0.18) P<0.05

HADS anxiety

12 months adjusted between group difference in HADS anxiety score = -1.56 (95%CI -2.75 to -0.38) P<0.05

Forsyth

2015 [32]

Trial

DASS-21

3 months

DASS-21 depression subscale

  ERS difference from baseline = -2.1

  C difference from baseline = -4.0

  Between group difference P=0.1

DASS-21 anxiety subscale

  ERS difference from baseline = -1.4

  C difference from baseline = -3.0

  Between group difference P=0.08

DASS-21 stress subscale

  ERS difference from baseline = -1.5

  C difference from baseline = -1.8

  Between group difference P=0.06

Total DASS-21 scores

  ERS difference from baseline = -5.1

  C difference from baseline = -6.1

  Between group difference P=0.04

Did not assess

  1. ERS exercise referral scheme group, C comparator group, CI confidence interval, HADS Hospital Anxiety and Depression Scale, BDI-II Beck depression inventory (version II) score, DASS-21 Depression, Anxiety and Stress Scale, P<0.05 = significant difference