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.

Ye Hoon Lee, Hyungsook Kim, Juhee Hwang, Sihyeon Noh
Author Information
  1. Ye Hoon Lee: Division of Global Sport Industry, Hankuk University of Foreign Studies, Gyeonggi-do, Republic of Korea. ORCID
  2. Hyungsook Kim: Department of Data Science, Hanyang University, Seoul, Republic of Korea. ORCID
  3. Juhee Hwang: Division of Global Sport Industry, Hankuk University of Foreign Studies, Gyeonggi-do, Republic of Korea. ORCID
  4. Sihyeon Noh: Division of Global Sport Industry, Hankuk University of Foreign Studies, Gyeonggi-do, Republic of Korea. ORCID

Abstract

BACKGROUND: Depression acts as a significant obstacle to the overall well-being of individuals. Given the significant consequences, timely recognition and proactive steps to manage symptoms of depression become essential. Such actions not only reduce personal distress but also play a crucial role in reducing its far-reaching impact on society as a whole.
OBJECTIVE: 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, this study aimed to investigate the effectiveness of 2 types of physical activity (PA), 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.
METHODS: Participants (N=60; mean age 25.29, SD 6.10 years) were recruited using a combination of web-based and offline methods, and the study lasted for 8 weeks. The baseline and posttest questionnaires were administered to all participants. The participants were randomly assigned to 1 of the 3 groups: progressive group (n=20; performing mobile-based progressive PA), fixed group (n=20; performing mobile-based fixed intensity PA), and control group C (n=20). Data analysis involved comparing scores between the experimental and control groups using a one-way ANOVA, paired sample t tests (2-tailed), and repeated measures ANOVA with a 3 (group)×2 (time) design.
RESULTS: The findings revealed significant improvements in mental health indicators among participants engaged in both fixed and progressive PA groups compared with the control group. However, the fixed PA group demonstrated more significant reductions in symptoms. Specifically, the progressive PA group showed significant reductions in depression (F=6.941; P=.01; η=0.16) and perceived stress (F=5.47; P=.03; η=0.13), while the fixed PA group exhibited significant reductions in depression (F=5.36; P=.03; η=0.12), perceived stress (F=7.81; P=.008; η=0.17), and general anxiety disorder (F=5.45; P=.03; η=0.13) compared with the control group.
CONCLUSIONS: This study underscores the potential of mobile-based PA in improving mental health outcomes. The findings offer significant insights for mental health professionals and researchers aiming to optimize mental well-being through innovative mobile therapies.
TRIAL REGISTRATION: Clinical Research Information Service KCT0009100; https://tinyurl.com/mr33fmur.

Keywords

References

  1. Arch Intern Med. 2006 May 22;166(10):1092-7 [PMID: 16717171]
  2. J Psychiatr Res. 2015 Feb;61:25-32 [PMID: 25439084]
  3. Neurosci Biobehav Rev. 2019 Dec;107:525-539 [PMID: 31586447]
  4. Lancet Psychiatry. 2017 Feb;4(2):146-158 [PMID: 27856392]
  5. Proc Natl Acad Sci U S A. 2015 Oct 20;112(42):13105-8 [PMID: 26438875]
  6. J Affect Disord. 2017 Aug 15;218:15-22 [PMID: 28456072]
  7. Obes Rev. 2021 Oct;22(10):e13295 [PMID: 34159684]
  8. Psychol Med. 2018 Jul;48(9):1560-1571 [PMID: 29173244]
  9. J Med Internet Res. 2018 Jul 16;20(7):e10112 [PMID: 30012547]
  10. J Fam Pract. 1988 May;26(5):533-9 [PMID: 3367118]
  11. JMIR Mhealth Uhealth. 2018 Sep 17;6(9):e10799 [PMID: 30224335]
  12. JMIR Form Res. 2022 Apr 1;6(4):e31839 [PMID: 35363151]
  13. Perspect Psychol Sci. 2021 Nov;16(6):1300-1323 [PMID: 33593153]
  14. Br J Sports Med. 2016 Jul;50(13):796-803 [PMID: 26719503]
  15. Sci Rep. 2020 Sep 30;10(1):16114 [PMID: 32999306]
  16. J Affect Disord. 2014 Aug;165:24-30 [PMID: 24882173]
  17. Front Psychol. 2018 May 08;9:707 [PMID: 29867672]
  18. BMC Infect Dis. 2017 Apr 12;17(1):268 [PMID: 28403830]
  19. JAMA Psychiatry. 2022 Jun 1;79(6):550-559 [PMID: 35416941]
  20. JMIR Mhealth Uhealth. 2023 Jun 26;11:e46286 [PMID: 37358905]
  21. Clin Psychol Rev. 2012 Jun;32(4):329-42 [PMID: 22466510]
  22. Sports Med. 2014 Jan;44(1):81-121 [PMID: 24030837]
  23. J Affect Disord. 2022 Jan 15;297:415-420 [PMID: 34715174]
  24. Can J Sport Sci. 1992 Dec;17(4):338-45 [PMID: 1330274]
  25. Am Psychol. 2003 Jan;58(1):5-14 [PMID: 12674814]
  26. J Affect Disord. 2016 Sep 15;202:67-86 [PMID: 27253219]
  27. J Med Internet Res. 2022 Oct 31;24(10):e36134 [PMID: 36315229]
  28. J Strength Cond Res. 2022 Mar 1;36(3):600-607 [PMID: 32058362]
  29. J Gerontol A Biol Sci Med Sci. 2005 Jun;60(6):768-76 [PMID: 15983181]
  30. Sports Med. 2022 Aug;52(8):1939-1960 [PMID: 35608815]
  31. JMIR Ment Health. 2018 Oct 12;5(4):e10698 [PMID: 30314962]
  32. Front Public Health. 2022 Aug 09;10:943435 [PMID: 36016904]
  33. Med Sci Sports Exerc. 2011 Jul;43(7):1334-59 [PMID: 21694556]
  34. J Med Internet Res. 2021 Jul 30;23(7):e30709 [PMID: 34328433]
  35. Neuroscience. 2012 Dec 13;226:21-8 [PMID: 22982624]
  36. Front Psychol. 2016 Jan 07;6:1890 [PMID: 26779053]
  37. Psychol Health. 2017 Aug;32(8):942-975 [PMID: 28554222]
  38. JMIR Mhealth Uhealth. 2022 Dec 9;10(12):e40271 [PMID: 36485026]
  39. Int J Sports Med. 2012 Jul;33(7):525-30 [PMID: 22504906]
  40. J Eval Clin Pract. 2012 Aug;18(4):878-86 [PMID: 21689213]
  41. Br J Psychiatry. 2012 Sep;201(3):180-5 [PMID: 22945926]
  42. Neuroimage. 2018 Feb 1;166:230-238 [PMID: 29113943]
  43. Behav Res Methods. 2007 May;39(2):175-91 [PMID: 17695343]
  44. J Affect Disord. 2017 Sep;219:86-92 [PMID: 28531848]
  45. Pediatrics. 2009 Jun;123(6):1591-8 [PMID: 19482771]
  46. Phys Ther. 2005 Nov;85(11):1208-23 [PMID: 16253049]
  47. Southeast Asian J Trop Med Public Health. 2014 Nov;45(6):1483-91 [PMID: 26466435]
  48. JMIR Mhealth Uhealth. 2024 Jan 16;12:e46397 [PMID: 38227355]
  49. Soc Sci Med. 2008 Dec;67(11):1917-23 [PMID: 18835074]
  50. Qual Life Res. 2002 Sep;11(6):593-600 [PMID: 12206580]
  51. Int J Methods Psychiatr Res. 2012 Sep;21(3):169-84 [PMID: 22865617]
  52. Behav Brain Res. 2006 Mar 15;168(1):47-55 [PMID: 16290283]
  53. J Gerontol A Biol Sci Med Sci. 1997 Jan;52(1):M27-35 [PMID: 9008666]
  54. Clin Psychol Rev. 2019 Jun;70:51-63 [PMID: 30981042]
  55. Digit Health. 2019 Mar 27;5:2055207619839883 [PMID: 30944728]
  56. BMC Public Health. 2022 Nov 7;22(1):2036 [PMID: 36344975]

MeSH Term

Humans
Male
Female
Adult
Republic of Korea
Exercise
Depression
Quality of Life
Stress, Psychological
Surveys and Questionnaires
Anxiety
Mobile Applications

Word Cloud

Created with Highcharts 10.0.0groupPAsignificanthealthmobile-basedprogressivefixedmentalP=η=0depressionstudycontrolsymptomsphysicalperceivedstressparticipantsn=20reductionsF=503Depressionwell-beingactivityanxietyaimingusing3performinggroupsANOVAfindingscompared13mobileexerciseBACKGROUND:actsobstacleoverallindividualsGivenconsequencestimelyrecognitionproactivestepsmanagebecomeessentialactionsreducepersonaldistressalsoplaycrucialrolereducingfar-reachingimpactsocietywholeOBJECTIVE:responseconcernobjectiveexploreuseinterventionspossibleremedyspecificallyaimedinvestigateeffectiveness2typeswithinapppsychologicalcontributeoptimizationbenefitsMETHODS:ParticipantsN=60meanage2529SD610yearsrecruitedcombinationweb-basedofflinemethodslasted8weeksbaselineposttestquestionnairesadministeredrandomlyassigned1groups:intensityCDataanalysisinvolvedcomparingscoresexperimentalone-waypairedsamplettests2-tailedrepeatedmeasures×2timedesignRESULTS:revealedimprovementsindicatorsamongengagedHoweverdemonstratedSpecificallyshowedF=6941011647exhibited3612F=78100817generaldisorder45CONCLUSIONS:underscorespotentialimprovingoutcomesofferinsightsprofessionalsresearchersoptimizeinnovativetherapiesTRIALREGISTRATION:ClinicalResearchInformationServiceKCT0009100https://tinyurlcom/mr33fmurEffectivenessMobile-BasedProgressiveFixedPhysicalActivityStressAnxietyQualityLifeOutcomesAmongAdultsSouthKorea:RandomizedControlledTrialdepressivephonenon–face-to-face

Similar Articles

Cited By