Lived experiences and engagement in an exercise program for people with Resistant Major Depression: TRACE-RMD Study

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dc.contributor.authorEtxaniz Oses, Jose
dc.contributor.authorTous Espelosín, Mikel
dc.contributor.authorSánchez Gómez, Pedro Manuel
dc.contributor.authorMaldonado Martín, Sara
dc.contributor.authorPrada-Perea, Ana Isabel
dc.contributor.authorIriarte Yoller, Nagore
dc.date.accessioned2026-05-04T08:33:04Z
dc.date.available2026-05-04T08:33:04Z
dc.date.issued2026-04-01
dc.date.updated2026-05-04T08:33:04Z
dc.description.abstractBackground: Resistant major depression (RMD) is characterized by persistent depressive symptoms despite adequate pharmacological treatment, leading to functional impairment and increased physical comorbidity. Lifestyle interventions, particularly physical activity, are promising adjuncts, yet factors influencing engagement remain poorly understood. Methods: A purposive sampling approach and thematic analysis informed by a socioecological framework were employed to explore participants’ lived experiences after completing a 12-week supervised combined exercise program. Semi-structured interviews were thematically analyzed. Results: Engagement was influenced by three main themes: intrapersonal (symptoms, lifestyle, medication, program expectations), interpersonal (family, peers, healthcare professionals), and environmental (program location, schedule, session design) factors. Motivation was shaped by emotional, physical, and social goals, while barriers included fatigue, anhedonia, and side effects of medication. Conclusions: Engagement in exercise interventions for RMD is shaped by the interaction of personal, social, and environmental factors. Understanding lived experiences can inform the design of person-centered, sustainable interventions.en
dc.description.sponsorshipThis project was funded by the “III Convocatoria Intramural de la Fundacion Vital Fundazioa—IIS BIOARABA” (BAFV23/007) and the Mental Health Network of Araba (2022)en
dc.identifier.citationEtxaniz-Oses, J., Tous-Espelosin, M., Sánchez, P., Maldonado-Martín, S., Prada-Perea, A. I., & Iriarte-Yoller, N. (2026). Lived experiences and engagement in an exercise program for people with Resistant Major Depression: TRACE-RMD Study. Healthcare (Switzerland), 14(7). https://doi.org/10.3390/HEALTHCARE14070832
dc.identifier.doi10.3390/HEALTHCARE14070832
dc.identifier.eissn2227-9032
dc.identifier.urihttps://hdl.handle.net/20.500.14454/5852
dc.language.isoeng
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.rights© 2026 by the author
dc.subject.otherDepression
dc.subject.otherEngagement
dc.subject.otherPhysical activity
dc.subject.otherQualitative
dc.subject.otherTreatment
dc.titleLived experiences and engagement in an exercise program for people with Resistant Major Depression: TRACE-RMD Studyen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.issue7
oaire.citation.titleHealthcare (Switzerland)
oaire.citation.volume14
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
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