Do disadvantaged women appreciate a synergetic exercise and psycho-educative program? Rationale and process evaluation of the Exercise without Worries course

Judith van der Waerden, Maria W.J. Jansen, Cees Hoefnagels, Clemens M.H. Hosman
2011 The International Journal of Person Centered Medicine  
Rationale, aims and objectives: Stress-related complaints and depressive symptoms are highly prevalent mental health problems among low-SES women. This paper describes the theoretical background, program content and process evaluation of the Exercise without Worries (EWW) course, a new exercise-enhanced psycho-educative intervention that targets coping and reducing stress and depressive symptoms among disadvantaged women. This eight-week prevention course has been tailored to the specific needs
more » ... the specific needs of adult low-SES women. Methods: The process evaluation used a descriptive, observational mixed methods design. Quantitative and qualitative data were gathered to determine implementation fidelity and subjective evaluations from the 135 participating women and the intervention providers. Results: Overall attendance rates were satisfactory, but 26% of the recruited participants did not take part in the course. Implementation fidelity was sufficient, while the delivered intervention dose deviated on average for 1 out of 8 sessions from the manual. Overall, the participants reported being very satisfied with all organizational and content aspects of the intervention, with no specific preference for either exercise or psycho-education. Conclusions: The findings suggest that a non-stigmatizing approach of exercise and psycho-education appears to fit with the preferences of low-SES women for preventive interventions. By extending the number of sessions and identifying reasons for non-participation, the program contents and execution can be improved for future adoption and implementation.
doi:10.5750/ijpcm.v1i2.72 fatcat:upqerxkdkfd3biy2fgwcetflxe