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A home-based walking study to ameliorate perceived stress and depressive symptoms in people with a traumatic brain injury.

Brain injury
January 1, 2015
Kimberly Bellon et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, U.S. Gov't, Non-P.H.S.Human StudyClinical
Study Details

Study Goal

To determine if a 12-week home-based walking program reduces perceived stress and depressive symptoms in individuals with traumatic brain injury (TBI).

Results Summary

The study found that both perceived stress and depressive symptoms significantly improved after the walking intervention, suggesting walking is an effective tool for managing these symptoms in TBI patients.

Population

Sixty-nine participants with traumatic brain injury (TBI).

Effective Dosage

Not specified (pedometer-tracked steps with weekly goals set by a coach).

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
12-week home-based walking programme
decrease
perceived stress
persons with a traumatic brain injury (TBI)
-
decrease
#1
12-week home-based walking programme
decrease
depressive symptoms
persons with a traumatic brain injury (TBI)
-
decrease
#2
walking intervention
decrease
perceived stress
participants with a TBI
-
significantly improved
#3
walking intervention
decrease
depression symptoms
participants with a TBI
-
significantly improved
#4
walking
decrease
perceived stress
persons who have sustained a TBI
-
can be used as an efficient and cost-effective tool to manage
#5
walking
decrease
depressive symptoms
persons who have sustained a TBI
-
can be used as an efficient and cost-effective tool to manage
#6
Abstract

UNLABELLED: Abstract Objective: To determine whether a 12-week home-based walking programme can decrease perceived stress and depressive symptoms in persons with a traumatic brain injury (TBI). SETTING: Community- and home-based. PARTICIPANTS: Sixty-nine participants with a TBI. DESIGN: Comparative effectiveness cross-over design with random assignment to treatment sequence and blinded post-hoc assessment of outcome where participants completed a 12-week walking intervention and a nutrition education module. The walking intervention utilized pedometers to track the amount of steps each participant walked daily. With the assistance of an assigned coach, weekly goals were given with the intent of increasing the amount of walking that the participant was initially completing. The nutrition control group was created to offset the impact of the coaching calls. MAIN MEASURES: Measurement of perceived stress and depressive symptoms was completed through the use of the Perceived Stress Scale (PSS) and Center for Epidemiological Studies-Depression (CES-D). These measures were collected at three time points: baseline and following each 12-week intervention. RESULTS: RESULTS indicated that both perceived stress and depression symptoms significantly improved following the walking intervention. CONCLUSIONS: While limitations existed with the study, it is evident that walking can be used as an efficient and cost-effective tool to manage perceived stress and depressive symptoms in persons who have sustained a TBI.

Medical Subject Headings (MeSH)
AdultBrain InjuriesCaliforniaCommunity Health ServicesCost-Benefit AnalysisCross-Over StudiesDepressionExercise TherapyFemaleHome Care ServicesHumansMaleNutrition AssessmentNutritional StatusStress, PsychologicalWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations36
Citations/Year3.6
Relative Citation Ratio1.97
NIH Percentile74.1%
Research Impact Scores
APT Score0.75
Weight Score1.75
Normalized Score0.69
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