Lifestyle Intervention for Symptoms of Depression wIth App Support in General Practice

NCT ID: NCT07022184

Last Updated: 2025-12-22

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

RECRUITING

Clinical Phase

NA

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-17

Study Completion Date

2027-02-28

Brief Summary

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The goal of this clinical trial is to find out whether a smartphone app can help reduce symptoms of depression by supporting healthy lifestyle changes and encouraging self-monitoring in adults who visit their general practitioner with symptoms of depression.

The main questions this study aims to answer are:

Does a personalized lifestyle intervention delivered through the app, in addition to regular care, reduce depression symptoms more effectively than regular care alone? Is this approach more cost-effective than regular care alone?

Researchers will compare patients who use the app alongside their regular care to patients who receive regular care without the app, to see whether the app leads to better outcomes.

Participants who use the app will:

Complete a lifestyle questionnaire focused on six themes: mental wellbeing, use of harmful substances, social relationships, healthy eating, sleep, and physical activity.

Set personal goals based on their results and receive tailored lifestyle advice.

Track their depression symptoms regularly within the app to support ongoing care.

Have follow-up conversations with their general practitioner or mental health nurse to discuss their progress.

Fill out questionnaires about their symptoms and experiences during the study.

Detailed Description

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Conditions

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Depressive/Anxiety Symptoms Depressive Disorder

Keywords

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Personalized lifestyle intervention eHealth Measurement-based care Depression symptomatology Cluster randomized trial General practice Lifestyle changes Mental health support Primary care

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Care As Usual (CAU)

The control group, receiving care as usual, will use a version of the Patient Journey App that only displays study questionnaires and sends reminders to complete them at the start of the study, and again at 3 and 6 months. Every 6 weeks, depression symptoms are measured. Patients can view their depression questionnaire results (PHQ-9; Patient Health Questionnaire-9) in a graph within the app. General practitioners and mental health nurses will not have access to the app. At 12 months, all participants will be invited to complete an optional final questionnaire about (cost-)effectiveness to assess the long-term impact of the intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Personalized Lifestyle Intervention

The intervention group will receive the personalized lifestyle intervention (PLI) in addition to care as usual. The PLI consists of the combined use of the Patient Journey App and regular treatment provided by the general practitioner or mental health nurse in general practice. Patients, general practitioners and mental health nurses will have access to the app to monitor patient progress and outcomes (symptoms of depression and anxiety). Study questionnaires will be completed at the start of the study (baseline), and again at 3, 6, and optionally 12 months after enrollment. Every 6 weeks, depression symptoms are measured.

Group Type EXPERIMENTAL

Personalized Lifestyle Intervention

Intervention Type DEVICE

The personalized lifestyle intervention (PLI) consists of the combined use of the Patient Journey App (PJA) alongside care provided by the general practitioner or mental health nurse.

The Patient Journey App integrates four digital health tools within a single smartphone application:

1. A brief lifestyle questionnaire covering six key areas: mental wellbeing, minimizing harmful substance use, social relationships, healthy eating, sleep, and physical activity.
2. A personalized summary of the questionnaire results, which supports the formulation of two personal lifestyle goals.
3. Tailored information and advice about lifestyle, including suggested interventions, based on the patient's personal goals.
4. Monitoring of depression symptoms over time to support measurement-based care.

General practitioners and mental health nurses will have access to the app to monitor patient progress and outcomes.

Interventions

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Personalized Lifestyle Intervention

The personalized lifestyle intervention (PLI) consists of the combined use of the Patient Journey App (PJA) alongside care provided by the general practitioner or mental health nurse.

The Patient Journey App integrates four digital health tools within a single smartphone application:

1. A brief lifestyle questionnaire covering six key areas: mental wellbeing, minimizing harmful substance use, social relationships, healthy eating, sleep, and physical activity.
2. A personalized summary of the questionnaire results, which supports the formulation of two personal lifestyle goals.
3. Tailored information and advice about lifestyle, including suggested interventions, based on the patient's personal goals.
4. Monitoring of depression symptoms over time to support measurement-based care.

General practitioners and mental health nurses will have access to the app to monitor patient progress and outcomes.

Intervention Type DEVICE

Other Intervention Names

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Patient Journey App Lifestyle App PLI

Eligibility Criteria

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Inclusion Criteria

* Currently experiencing an episode of symptoms of depression and receiving treatment for this episode from their GP or GP-MHW for less than six months
* Have a smartphone
* Be proficient in Dutch

Exclusion Criteria

* Severe mental illness (such as psychosis or bipolar disorder)
* Severe alcohol or drug addiction requiring specialized secondary care
* High suicide risk
* moderate to severe cognitive impairment (as determined by the GP)

Patients who visit their GP for depressive symptoms but with a PHQ-9 of \<5 at baseline are allowed to use the PLI, but will not be included in the primary analysis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ixta Noa

UNKNOWN

Sponsor Role collaborator

Hogeschool van Arnhem en Nijmegen (HAN)

UNKNOWN

Sponsor Role collaborator

Pro Persona Mental Health Care Foundation

OTHER

Sponsor Role collaborator

Amsterdam UMC

OTHER

Sponsor Role collaborator

Interactive Studios

UNKNOWN

Sponsor Role collaborator

University Medical Center Groningen

OTHER

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Radboudumc

Nijmegen, Gelderland, Netherlands

Site Status RECRUITING

Amsterdam UMC

Amsterdam, North Holland, Netherlands

Site Status RECRUITING

UMC Groningen

Groningen, Provincie Groningen, Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Eline Jagtenberg

Role: CONTACT

Phone: 0652902132

Email: [email protected]

Suzanne Ligthart

Role: CONTACT

Email: [email protected]

Facility Contacts

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Eline Jagtenberg

Role: primary

Otto Maarsingh

Role: primary

Huib Burger

Role: primary

Related Links

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Other Identifiers

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10930012310037

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2024-17656

Identifier Type: -

Identifier Source: org_study_id