000118936 001__ 118936
000118936 005__ 20240319081009.0
000118936 0247_ $$2doi$$a10.3389/fmed.2022.954644
000118936 0248_ $$2sideral$$a130057
000118936 037__ $$aART-2022-130057
000118936 041__ $$aeng
000118936 100__ $$0(orcid)0000-0003-2683-7346$$aAguilar-Latorre, A.
000118936 245__ $$aEffectiveness of a lifestyle modification programme in the treatment of depression symptoms in primary care
000118936 260__ $$c2022
000118936 5060_ $$aAccess copy available to the general public$$fUnrestricted
000118936 5203_ $$aBackground: Depression symptoms are prevalent in the general population, and their onset and continuation may be related to biological and psychosocial factors, many of which are related to lifestyle aspects. Health promotion and lifestyle modification programmes (LMPs) may be effective on reducing the symptoms. The objective of this study was to analyse the clinical effectiveness of a LMP and a LMP plus Information and Communication Technologies, when compared to Treatment as Usual (TAU) over 6 months. The interventions were offered as an adjuvant treatment delivered in Primary Healthcare Centers (PHCs) for people with depression symptoms. Methods: We conducted an open-label, multicentre, pragmatic, randomized clinical trial. Participants were recruited from several PHCs. Those participants visiting general practitioner for any reason, who also met the inclusion criteria (scoring 10 to 30 points on the Beck II Self-Applied Depression Inventory) were invited to take part in the study. TAU+LMP consisted of six weekly 90-min group sessions focused on improving lifestyle. TAU+LMP + ICTs replicated the TAU+LMP format, plus the addition of a wearable smartwatch to measure daily minutes walked and sleep patterns. A total of 188 participants consented to participate in the study and were randomized. We used linear mixed models, with a random intercept and an unstructured covariance to evaluate the impact of the interventions compared to TAU. Results: Both interventions showed a statistically significant reduction on depressive symptoms compared to TAU (TAU+LMP vs. TAU slope difference, b = -3.38, 95% CI= -5.286, -1.474] p = 0.001 and TAU+LMP+ICTs vs. TAU slope difference, b = -4.05, 95% CI = -5.919, -2.197], p < 0.001). These reductions imply a moderate effect size. In the TAU+LMP+ICTs there was a significant increase regarding minutes walking per week (b = 99.77) and adherence to Mediterranean diet (b = 0.702). In the TAU+LMP there was a significant decrease regarding bad sleep quality (b = -1.24). Conclusion: TAU+LMPs administered in PHCs to people experiencing depression symptoms were effective on reducing these symptoms compared to TAU. They also have a positive impact on changing several lifestyle factors. These findings indicate that these interventions can be promising strategies for PHCs.
000118936 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B21-20R-GAIAP$$9info:eu-repo/grantAgreement/ES/ISCIII/PI18-01336
000118936 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000118936 590__ $$a3.9$$b2022
000118936 592__ $$a0.926$$b2022
000118936 591__ $$aMEDICINE, GENERAL & INTERNAL$$b58 / 169 = 0.343$$c2022$$dQ2$$eT2
000118936 593__ $$aMedicine (miscellaneous)$$c2022$$dQ1
000118936 594__ $$a3.6$$b2022
000118936 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000118936 700__ $$aPérez Algorta, G.
000118936 700__ $$aNavarro-Guzmán, C.
000118936 700__ $$aSerrano-Ripoll, M. J.
000118936 700__ $$0(orcid)0000-0001-6565-9699$$aOliván Blázquez, B.$$uUniversidad de Zaragoza
000118936 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000118936 773__ $$g9 (2022), 954644 [10 pp.]$$pFront. med.$$tFrontiers in Medicine$$x2296-858X
000118936 8564_ $$s625001$$uhttps://zaguan.unizar.es/record/118936/files/texto_completo.pdf$$yVersión publicada
000118936 8564_ $$s2335720$$uhttps://zaguan.unizar.es/record/118936/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000118936 909CO $$ooai:zaguan.unizar.es:118936$$particulos$$pdriver
000118936 951__ $$a2024-03-18-14:55:55
000118936 980__ $$aARTICLE