Depressive Symptoms Clinical Trial
Official title:
A Pilot Randomized Controlled Trial of a Web-based Intervention Using Behavioral Activation and Physical Activity for Adults With Depression: the eMotion Study.
Physical activity has many potential mood enhancing benefits, and may be as effective as anti-depressants and psychological therapies for treating depression and low mood. However, getting people with depression to become more active is challenging. Behavioural Activation (BA) is an evidenced based psychotherapeutic treatment that focuses on increasing exposure to positive environmental stimuli which could provide an effective delivery mechanism for increasing physical activity for people who are more sedentary than the general population. The purpose of this study is to examine the feasibility of delivering a theory informed online intervention combining physical activity and BA (eMotion) to people with depression, and to examine its effects on depressive symptoms and physical activity.
A randomised controlled trial (RCT) design will be used in this study. 120 participants
experiencing depressive symptoms (>10 on the PHQ-8) over the age of 18 will be recruited from
the community. Participants will be eligible to participate if the over 18, score over 10 on
the PHQ-8 and, are able to walk unaided for at least 5 minutes and have access to the
internet. Following baseline measures, participants will be randomised in a 1:1 ratio to the
intervention or waiting list control arm and be followed up at 2 and 5 months. Those
randomised to the intervention arm will receive eMotion which is comprised of a series of
weekly audio visual modules designed to increase exposure to positive activities and physical
activity. Main outcomes of interest include recruitment, retention, fidelity and
acceptability. Baseline and follow up measures will also include the PHQ-8, and objective
(GENEActvie accelerometers) and subjective (IPAQ) measures of physical activity. A parallel
process evaluation will run alongside the RCT.
If effective, this intervention has the potential to improve depressive symptoms in a wide
range of hard to reach people in the community and increase their physical activity. Further
evaluation in a full scale RCT is planned pending results of this trial.
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