"It's More than Just Exercise": Psychosocial Experiences of Women in the Conscious 9 Months Specifically Designed Prenatal Exercise Programme-A Qualitative Study

Abstract

Background/Objectives: Physical activity during pregnancy is recognised for its benefits to maternal and foetal health. However, adherence to prenatal exercise programmes is often low due to psychological, physical, and social barriers. This study explored the experiences of women who successfully completed a tailored prenatal exercise programme, "Conscious 9 Months", aiming to identify factors enabling adherence and providing recommendations for future programme development. Methods: A descriptive qualitative research design was employed using semi-structured, in-depth interviews with ten participants who completed the programme between 2017 and 2019. Thematic Analysis was conducted to explore their experiences. Results: Participants emphasised the transformative nature of the programme, which extended far beyond physical exercise. Three interconnected domains emerged: psychosocial, physical, and psychoeducational. The present article focuses on the psychosocial domain, highlighting the significance of exercising in a group of pregnant women as a key source of support. Additionally, the atmosphere played a crucial role in facilitating the participants' regular attendance. Finally, the findings indicate that the programme fostered lasting social connections that extended beyond its formal completion. Conclusions: A holistic approach that integrates physical activity with social and emotional support can foster a sense of community and enhance long-term adherence. The design of future programmes should prioritise small group sizes to facilitate peer support and create a safe and welcoming atmosphere to encourage emotional expression. Additionally, sustained engagement beyond pregnancy through follow-up initiatives, family involvement, and postnatal movement programmes can further reinforce long-term participation and promote lasting health benefits for both mothers and their children.

Keywords: adherence; exercise; group exercise; holistic programmes; personal experiences; pregnancy; prenatal physical activity; social support.

Figure 1

“It’s More than Just Exercise”—Programme as a Transformative Experience—Key Domains and Themes. The graphic illustrates the “Conscious 9 Months” programme, designed as a holistic prenatal physical activity intervention, integrating exercise, social and emotional support, and education.

Figure 2

Thematic map depicting the main themes and sub-themes in the psychosocial domain of the programme.