Lifestyle Modification Program in the Prevention and Treatment of Depression

NCT ID: NCT03951350

Last Updated: 2021-02-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-01

Study Completion Date

2021-02-01

Brief Summary

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Introduction:

Major depression is a highly prevalent pathology that is currently the second most common cause of disease-induced disability in our society. The onset and continuation of depression may be related to a wide variety of biological and psychosocial factors, many of which are linked to different lifestyle aspects. Therefore, health systems must design and implement health promotion and lifestyle modification programs, taking into account personal factors and facilitators. The main objective of this work is to analyze the utility and cost-effectiveness of an adjunctive treatment program for subclinical, mild or moderate depression in Primary Care patients, based on healthier lifestyle recommendations. Secondary objectives include the analysis of the effectiveness of the intervention in comorbid chronic pathology and the measurement of the influence of personal factors on lifestyle modification.

Methods and analysis:

A randomized, multicenter pragmatic clinical trial with 3 parallel groups consisting of primary healthcare patients suffering from subclinical, mild or moderate depression. The following interventions will be used: 1. Usual antidepressant treatment with psychological advice and/or psychotropic drugs prescribed by the General Practitioner (treatment-as-usual, TAU). 2. TAU + Lifestyle Modification Program (LMP). A program to be imparted in 6 weekly 90-minute group sessions, intended to improve the following aspects: behavioral activation + daily physical activity + adherence to the Mediterranean diet pattern + sleep hygiene + careful exposure to sunlight. 3. TAU + LMP + ICTs: healthy lifestyle recommendations (TAU+LMP intervention) + monitoring using ICTs (a wearable smartwatch). The primary outcome will be the depressive symptomatology and the secondary outcomes will be the quality of life, the use of health and social resources, personal variables related to program adherence (patient activation in their own health, self-efficacy, sense of coherence, health literacy and procrastination) and chronic comorbid pathology. Data will be collected before and after the intervention, with 6- and 12-month follow-ups.

Detailed Description

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Conditions

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Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Control (TAU)

Patients will follow the usual treatment provided by their GP (treatment-as-usual, TAU).

Group Type NO_INTERVENTION

No interventions assigned to this group

Lifestyle Modification Program (LMP)

It will consist of 6 weekly group sessions (lasting 90 minutes each).

Group Type EXPERIMENTAL

Lifestyle Modification Program (LMP)

Intervention Type BEHAVIORAL

Patients will follow TAU and LMP. This program will consist of 6 weekly group sessions (lasting 90 minutes each) led by an experienced psychologist and complemented by PowerPoint presentations. The content is the following:

1. Presentation of the project and psychoeducation on depression.
2. Behavior activation.
3. Sleep hygiene habits and careful exposure to sunlight.
4. Physical activity.
5. Adherence to the Mediterranean diet.
6. Summary of previous sessions with practical final suggestions.

Lifestyle Modification Program (LMP) + Information Communication Technologies (ICTs)

Intervention Type BEHAVIORAL

Patients will follow TAU and LMP and will be monitored using a wearable smart wristwatch that will track their daily sleep patterns and physical activity (LMP+ICTs).

Lifestyle Modification Program (LMP) + ICTs

It will consist of 6 weekly group sessions (lasting 90 minutes each).

Group Type EXPERIMENTAL

Lifestyle Modification Program (LMP) + Information Communication Technologies (ICTs)

Intervention Type BEHAVIORAL

Patients will follow TAU and LMP and will be monitored using a wearable smart wristwatch that will track their daily sleep patterns and physical activity (LMP+ICTs).

Interventions

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Lifestyle Modification Program (LMP)

Patients will follow TAU and LMP. This program will consist of 6 weekly group sessions (lasting 90 minutes each) led by an experienced psychologist and complemented by PowerPoint presentations. The content is the following:

1. Presentation of the project and psychoeducation on depression.
2. Behavior activation.
3. Sleep hygiene habits and careful exposure to sunlight.
4. Physical activity.
5. Adherence to the Mediterranean diet.
6. Summary of previous sessions with practical final suggestions.

Intervention Type BEHAVIORAL

Lifestyle Modification Program (LMP) + Information Communication Technologies (ICTs)

Patients will follow TAU and LMP and will be monitored using a wearable smart wristwatch that will track their daily sleep patterns and physical activity (LMP+ICTs).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Individuals over the age of 18.
* Both sexes.
* Having a duration of depression symptoms of at least 2 months.
* Who perfectly understand written and spoken Spanish.
* Who have provided their informed consent.

Exclusion Criteria

* Suffering from another disease that affects the central nervous system (organic brain pathology or having suffered a traumatic brain injury of any severity, dementia).
* Having another psychiatric diagnosis or serious psychiatric illness (substance dependence or abuse, history of schizophrenia or other psychotic disorders, eating disorders) with the exception of anxious pathology or personality disorders (collected through a medical history and from the Mini-International Neuropsychiatric Interview (MINI) (Ferrando, Bobes, \& Gibert, 2000)).
* Presence of a serious or uncontrolled medical, infectious or degenerative illness that may interfere with the affective symptoms.
* Presence of delirium or hallucinations, risk of suicide, pregnancy or lactation.
* Patients who have participated in another clinical trial over the past 6 months or who are currently in psychotherapy.
* Who practice mindfulness, yoga, meditation or similar practices over the past 6 months, engaging in formal practice at least once a week.
* Presence of any medical, psychological or social problem that could seriously interfere with the patient's participation in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Instituto de Investigación Sanitaria Aragón

OTHER

Sponsor Role lead

Responsible Party

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Bárbara Oliván-Blázquez

Professor University of Zaragoza

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Alejandra Aguilar-Latorre

Zaragoza, , Spain

Site Status

Countries

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Spain

References

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Other Identifiers

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PI18/01336

Identifier Type: -

Identifier Source: org_study_id

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