“You can't take a pill to exercise” – Qualitative findings from the Toward Exercise as Medicine for Adolescents with bipolar disorder (TEAM-BD) study
Bibliographic record
Abstract
Objectives Despite multiple potential physical and mental benefits of aerobic exercise, individuals with bipolar disorder (BD) report low engagement in aerobic exercise and decreased cardiorespiratory fitness (CRF). Given the scarcity of interventions that focus on aerobic exercise and CRF in BD, a novel behaviour change counselling (BCC) intervention was developed and conducted to increase aerobic exercise in youth with BD. The aim of this study was to elucidate participant feedback on the BCC intervention, using post-intervention consultation forums. Methods Of 20 youth with BD who enrolled in the 24-week BCC intervention, 11 attended consultation forums after completing the study. Five parents also participated in separate parent consultation forums. Questions included asking about participants’ overall experiences, helpful/unhelpful components, feedback on core and optional modules, and recommendations for future interventions. Forums were audiotaped and transcribed verbatim. Forums were analysed using both content and thematic analyses, with deductive and inductive qualitative approaches. Results For feasibility, themes of ‘ managing mood and/or psychiatric symptoms’ , ‘ adapting life to include exercise’ , and ‘ providing structured support through an intervention’ were identified. For acceptability, we identified themes of ‘ awareness of the importance of exercise’ , ‘ adaptable approach to changing needs and wants’ , and ‘ improving clarity of available components and materials’ . For impact, themes of ‘ exercise change is gradual and ongoing’ , and ‘ attitudes and beliefs around exercise can change’ were elucidated. Conclusion Youth with BD and their parents reported experiencing subjective benefits following the BCC intervention. Several challenges and barriers were also noted that will require consideration for future exercise intervention designs. Clinical trials registration number NCT03562520.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.014 | 0.017 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.007 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.005 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".