{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:02:46Z","timestamp":1790823766639,"version":"4.1.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,3,1]]},"abstract":"\n Objective<\/jats:title>\n The purpose of this study was to evaluate the effect of a physical therapy exercise and health care education program on the psychological well-being of new mothers.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n This was a randomized controlled trial.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Primiparous and multiparous English-speaking women ready for discharge from The Angliss Hospital postnatal ward were eligible for this study. Women who were receiving psychiatric care were excluded. One hundred sixty-one women were randomized into the trial.<\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n The experimental group (n=62) received an 8-week \u201cMother and Baby\u201d (M&B) program, including specialized exercise provided by a women's health physical therapist combined with parenting education. The other group (education only [EO], n=73) received only the same educational material as the experimental group.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Psychological well-being (Positive Affect Balance Scale), depressive symptoms (Edinburgh Postnatal Depression Scale), and physical activity levels were assessed at baseline, after 8 weeks (post-program), and then 4 weeks later.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n There was significant improvement in well-being scores and depressive symptoms of the M&B group compared with the EO group over the study period. More specifically, there was a significant positive effect on well-being scores and depressive symptoms at 8 weeks, and this effect was maintained 4 weeks after completion of the program. The number of women identified as \u201cat risk\u201d for postnatal depression pre-intervention was reduced by 50% by the end of the intervention.<\/jats:p>\n <\/jats:sec>\n \n Limitations<\/jats:title>\n Although this study provides promising short-term (4-week) outcomes, further work is needed to explore whether the intervention effects are maintained as sustained psychological and behavioral benefits at 6 months.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A physical therapy exercise and health education program is effective in improving postnatal well-being. Routine use of this program may reduce longer-term problems such as postnatal depression.<\/jats:p>\n <\/jats:sec>","DOI":"10.2522\/ptj.20090139","type":"journal-article","created":{"date-parts":[[2010,1,7]],"date-time":"2010-01-07T22:34:59Z","timestamp":1262903699000},"page":"348-355","source":"Crossref","is-referenced-by-count":115,"title":["An Exercise and Education Program Improves Well-Being of New Mothers: A Randomized Controlled Trial"],"prefix":"10.1093","volume":"90","author":[{"given":"Emily","family":"Norman","sequence":"first","affiliation":[{"name":"E. Norman, BPhysio, PGrad Cert (Exercise for Women), MPhysio, is Grade 4 Physiotherapist (Continence and Women's Health) and Manager of Allied Health Clinical Research, Eastern Health, Ferntree Gully, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Sherburn","sequence":"additional","affiliation":[{"name":"M. Sherburn, BAppSci (Physio), MWomen's Health, PhD, is Senior Lecturer, School of Physiotherapy, University of Melbourne, Parkville, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard H.","family":"Osborne","sequence":"additional","affiliation":[{"name":"R.H. Osborne, BSc, PhD, is Professor of Public Health, School of Health and Social Sciences, Deakin University, Burwood, Victoria, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary P.","family":"Galea","sequence":"additional","affiliation":[{"name":"M.P. Galea, BAppSci (Physio), BA, PhD, is Professor of Clinical Physiotherapy, School of Physiotherapy, University of Melbourne, Grattan Street, Parkville, Victoria 3010, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"2019123012284916900_B1","volume-title":"Treating Postnatal Depression: A Psychological Approach for Treating Health Care Practitioners","author":"Milgrom","year":"1999"},{"key":"2019123012284916900_B2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmj.331.7507.15","article-title":"Psychosocial and psychological interventions for prevention of postnatal depression: a systematic review","volume":"331","author":"Dennis","year":"2005","journal-title":"BMJ"},{"key":"2019123012284916900_B3","first-page":"1","article-title":"Postpartum depression: Identification, treatment, and prevention in primary care","volume":"5","author":"Rice","year":"2001","journal-title":"The Clinical Letter for Nurse 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