Name
Chamberlain University
NR-585: Research Methods and Evidence-Based Practice for Advanced Nursing Practice
Prof. Name
Date
Follow the Week 5 Assignment Guideline and Rubric to complete the information below. Use complete sentences to document findings. Select the correct table for each of the five articles and complete the information that aligns with the type of research article selected.
Original research articles should include single quantitative, qualitative, or mixed methods studies. Synthesis should include systematic reviews, meta-analyses, or meta-syntheses. Clinical practice guidelines (CPG) should be documented accordingly. Copy and paste the appropriate tables as needed to classify the five articles reviewed.
In older adult patients with major depressive disorder (P), does exercise (I), compared to antidepressant medication usage (C), reduce depressive symptoms (O) after eight weeks (T)?
| Full Reference for Article (APA Format) | Galán-Arroyo, C., Pereira-Payo, D., Hernández-Mocholí, M. Á., Merellano-Navarro, E., Pérez-Gómez, J., Rojo-Ramos, J., & Adsuar, J. C. (2022). Depression and exercise in older adults: Exercise looks after you program, user profile. Healthcare, 10(2), 181. https://doi.org/10.3390/healthcare10020181 |
|---|---|
| Purpose and Type of Research | The study aimed to explore the characteristics of older adults with depression to refine public health recommendations. A cross-sectional research design was used. |
| Methods | The Geriatric Depression Scale (Yesavage Scale) was applied to measure depressive symptoms in participants. |
| Sample and Participants | A total of 1,972 adults over the age of 59 participated. |
| Study Findings | The research highlighted distinct gender differences, with more women than men participating. Profiles of depressed men and women were documented for future program tailoring. |
| Limitations of the Study | The sample was not fully representative, as many older adults with depression remain undiagnosed due to symptom overlap with age-related conditions. |
| Relevance to Practice | The findings underscore the need for increased exercise opportunities tailored particularly to older men, who may underutilize such interventions. |
| Full Reference for Article (APA Format) | Machaczek, K. K., Allmark, P., Pollard, N., Goyder, E., Shea, M., Horspool, M., Lee, S., De-La-Haye, S., Copeland, R., & Weich, S. (2022). Integrating physical activity into the treatment of depression in adults: A qualitative enquiry. Health & Social Care in the Community, 30(3), 1006–1017. https://doi.org/10.1111/hsc.13283 |
|---|---|
| Purpose and Type of Research | To investigate how individuals with major depressive disorder (MDD) perceive and integrate physical activity into depression treatment. This was a qualitative inquiry. |
| Methods | In-depth, digitally recorded interviews were conducted with participants. Data were thematically analyzed to capture lived experiences. |
| Sample and Participants | Twelve adults (men and women, >18 years old) diagnosed with depression were recruited via a mental health charity using purposive sampling. |
| Study Findings | Exercise was shown to reduce depressive symptoms and improve patient well-being. Factors influencing participation included personal motivation, social support, and socioeconomic status. |
| Limitations of the Study | The small sample size and lack of ethnic and socioeconomic diversity limit generalizability. |
| Relevance to Practice | Insights emphasize the value of incorporating patient perspectives into care planning, ensuring exercise-based interventions are personalized and feasible. |
| Full Reference for Article (APA Format) | Noetel, M., Sanders, T., Gallardo-Gómez, D., Taylor, P., Del Pozo Cruz, B., Van Den Hoek, D., Smith, J. J., Mahoney, J., Spathis, J., Moresi, M., Pagano, R., Pagano, L., Vasconcellos, R., Arnott, H., Varley, B., Parker, P., Biddle, S., & Lonsdale, C. (2024). Effect of exercise for depression: Systematic review and network meta-analysis of randomised controlled trials. BMJ, 384, e075847. https://doi.org/10.1136/bmj-2023-075847 |
|---|---|
| Purpose and Type of Research | To compare the effectiveness of different exercise modalities against psychotherapy, antidepressants, and control groups in treating depression. This was a systematic review and network meta-analysis. |
| Methods | Screening, data coding, and statistical synthesis through network meta-analysis were conducted. |
| Sample and Participants | Data were drawn from 218 studies, comprising 14,170 participants. |
| Study Findings | Exercise was effective across varying levels of depression severity. Walking/jogging, yoga, and resistance training were especially beneficial. |
| Limitations of the Study | While robust, findings may reflect publication bias in favor of exercise. |
| Relevance to Practice | Exercise can be confidently recommended alongside other treatments, with specific modalities tailored to patient preference. |
| Full Reference for Article (APA Format) | Pérez Bedoya, P., Puerta-López, L. F., López Galvis, D. A., Rojas Jaimes, D. A., & Moreira, O. C. (2023). Physical exercise and major depressive disorder in adults: Systematic review and meta-analysis. Scientific Reports, 13(1), 13223. https://doi.org/10.1038/s41598-023-39783-2 |
|---|---|
| Purpose and Type of Research | To evaluate the risks and benefits of exercise as a treatment for depression compared with other interventions. This was a systematic review and meta-analysis. |
| Methods | Nine randomized controlled trials were analyzed. |
| Sample and Participants | The review included 678 adults with MDD not receiving concurrent depression treatment. |
| Study Findings | Exercise yielded modest but meaningful improvements in depressive symptoms. |
| Limitations of the Study | Variability in intervention design (duration, intensity, frequency, and supervision) limited certainty. |
| Relevance to Practice | The study calls for refined protocols to maximize exercise benefits in depression management. |
| Full Reference for Article (APA Format) | Xie, Y., Wu, Z., Sun, L., Zhou, L., Wang, G., Xiao, L., & Wang, H. (2021). The effects and mechanisms of exercise on the treatment of depression. Frontiers in Psychiatry, 12, 705559. https://doi.org/10.3389/fpsyt.2021.705559 |
|---|---|
| Purpose and Type of Research | To explore the mechanisms and therapeutic effects of exercise for depression. This was a systematic review. |
| Methods | Literature published between 2010–2021 was analyzed. |
| Sample and Participants | Studies included adults aged 18–65. |
| Study Findings | Exercise demonstrated consistent effectiveness in reducing depressive symptoms. |
| Limitations of the Study | Lack of standardized exercise protocols (type, intensity, frequency, and duration) across studies. |
| Relevance to Practice | Recommendations suggest moderate exercise 3–5 times per week for 4–16 weeks as a viable treatment approach. |
Galán-Arroyo, C., Pereira-Payo, D., Hernández-Mocholí, M. Á., Merellano-Navarro, E., Pérez-Gómez, J., Rojo-Ramos, J., & Adsuar, J. C. (2022). Depression and exercise in older adults: Exercise looks after you program, user profile. Healthcare, 10(2), 181. https://doi.org/10.3390/healthcare10020181
Machaczek, K. K., Allmark, P., Pollard, N., Goyder, E., Shea, M., Horspool, M., Lee, S., De-La-Haye, S., Copeland, R., & Weich, S. (2022). Integrating physical activity into the treatment of depression in adults: A qualitative enquiry. Health & Social Care in the Community, 30(3), 1006–1017. https://doi.org/10.1111/hsc.13283
Noetel, M., Sanders, T., Gallardo-Gómez, D., Taylor, P., Del Pozo Cruz, B., Van Den Hoek, D., Smith, J. J., Mahoney, J., Spathis, J., Moresi, M., Pagano, R., Pagano, L., Vasconcellos, R., Arnott, H., Varley, B., Parker, P., Biddle, S., & Lonsdale, C. (2024). Effect of exercise for depression: Systematic review and network meta-analysis of randomised controlled trials. BMJ, 384, e075847. https://doi.org/10.1136/bmj-2023-075847
Pérez Bedoya, P., Puerta-López, L. F., López Galvis, D. A., Rojas Jaimes, D. A., & Moreira, O. C. (2023). Physical exercise and major depressive disorder in adults: Systematic review and meta-analysis. Scientific Reports, 13(1), 13223. https://doi.org/10.1038/s41598-023-39783-2
Xie, Y., Wu, Z., Sun, L., Zhou, L., Wang, G., Xiao, L., & Wang, H. (2021). The effects and mechanisms of exercise on the treatment of depression. Frontiers in Psychiatry, 12, 705559. https://doi.org/10.3389/fpsyt.2021.705559
