Exercise preferences among women survivors of sexual violence by PTSD and physical activity level: Implications and recommendations for trauma-informed practice

Background: This analysis reported (1) interest in exercise programs made for women survivors of sexual violence (SV), (2) preferences for the structure and content of these programs, and (3) comparisons of interest and preferences by physical activity and PTSD. Methods: A cross-sectional study was conducted among women aged 18–65, who had self-reported a history of SV, and were in the United States. Willingness to participate in exercise programs, and preferences for content and structure, were assessed and compared by PTSD and physical activity status. Results: Of 974 respondents, 528 met the inclusion criteria, and 355 met data quality requirements to be included in the analysis. Most women indicated they were interested (n = 197) or may be interested (n = 137) in exercise programs. Women with PTSD and who were active were most likely to be interested (p_s < 0.05; Cramer's V_s = 0.15–0.25). Women reported favoring exercising at home, alone or in group formats, and with female instructors. They also preferred moderate intensity, sessions lasting 30 min to an hour, 3–4 times per week. Insufficiently active survivors were more likely to prefer at home locations, low-moderate intensities, and shorter durations when compared to active survivors (p_s < 0.05; Cramer's V_s = 0.16–0.20). Women with PTSD were more likely to prefer at home options, with women instructors, moderate-high intensity, longer sessions, and longer program durations, compared to women without PTSD (p_s < 0.05; Cramer's V_s = 0.18–0.50). Top endorsed modes were walking, jogging, and yoga. Conclusion: Results add new knowledge on understanding best practices for integrating trauma-informed physical activity into trauma recovery programs for women survivors of SV.