Trial reportBMJ open2017
Cost-effectiveness of a preferred intensity exercise programme for young people with depression compared with treatment as usual: an economic evaluation alongside a clinical trial in the UK.
Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01474837 (The H.E.A.L.T.H. Project), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The H.E.A.L.T.H. Project: Help Enabling Active Lifestyles Toward Health in Young People With Depression.
Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Trial-based economic evaluations of non-drug interventions in the Royal Australian College of General Practitioners (RACGP) Handbook of Non-Drug Interventions in primary care: a systemic review.Family medicine and community health · 2025Pooled it
- Cost-effectiveness of physical activity-oriented interventions for improving mental health: a systematic review.BMC public health · 2025Pooled it
- Effectiveness of exercise intervention on children and adolescents with depression: a systematic review and meta-analysis of randomized controlled trial.Frontiers in psychiatry · 2025Pooled it
- Comparative Effectiveness of Multiple Exercise Interventions in the Treatment of Mental Health Disorders: A Systematic Review and Network Meta-Analysis.Sports medicine - open · 2022Pooled it
- A pragmatic randomised controlled trial of preferred intensity exercise in depressed adult women in the United Kingdom: secondary analysis of individual variability of depression.BMC public health · 2019Trial
- Article
- A scoping review of physical activity interventions in youth attending child and adolescent mental health services.Irish journal of medical science · 2024Article
- The effectiveness of exercise programs accessible from home on children's and adolescents' emotional well-being: Systematic review & meta-analysis.PCN reports : psychiatry and clinical neurosciences · 2023Review
- Article
- The effect of exercise on resilience, its mediators and moderators, in a general population during the UK COVID-19 pandemic in 2020: a cross-sectional online study.BMC public health · 2022Article
- A randomised controlled trial of energetic activity for depression in young people (READY): a multi-site feasibility trial protocol.Pilot and feasibility studies · 2021Article
- Mental Health Problems and the Associated Family and School Factors in Adolescents: A Multilevel Analysis.Iranian journal of psychiatry · 2021Article
- Problematic cost-utility analysis of interventions for behavior problems in children and adolescents.New directions for child and adolescent development · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the cost-effectiveness of preferred intensity exercise programme for young people with depression compared with a treatment as usual control group.
designA 'within trial' cost-effectiveness and cost-utility analysis conducted alongside a randomised controlled trial. The perspective of the analysis was the UK National Health Service and social services.
settingThe intervention was provided in a community leisure centre setting.
participants86 young people aged 14-17 years attending Tier 2 and Tier 3 CAMHS (Child and Adolescent Mental Health Services) outpatient services presenting with depression.
interventionsThe intervention comprised 12 separate sessions of circuit training over a 6-week period. Sessions were supervised by a qualified exercise therapist. Participants also received treatment as usual. The comparator group received treatment as usual.
resultsWe found improvements in the Children's Depression Inventory-2 (CDI-2) and estimated cost-effectiveness at £61 per point improvement in CDI-2 for the exercise group compared with control. We found no evidence that the exercise intervention led to differences in quality-adjusted life years (QALY). QALYs were estimated using the EQ-5D-5L (5-level version of EuroQol-5 dimension).
conclusionsThere is evidence that exercise can be an effective intervention for adolescents with depression and the current study shows that preferred intensity exercise could also represent a cost-effective intervention in terms of the CDI-2. TRIAL REGISTRATION NUMBER: NCT01474837.
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