126266 20241125101148.0 doi 10.1016/j.jad.2023.04.007 sideral 133655 ART-2023-133655 eng Aguilar-Latorre, Alejandra Universidad de Zaragoza (orcid)0000-0003-2683-7346 One-year follow-up of the effectiveness of a lifestyle modification programme as an adjuvant treatment of depression in primary care: a randomised clinical trial 2023 Access copy available to the general public Unrestricted Background: An estimated 280 million individuals suffer from depression. Brief group interventions in Primary Healthcare Centres (PHCs) are recommended. One goal of these interventions is to educate people about healthy lifestyle habits, as they prevent the development of depression. This study aims to analyse the one-year follow-up results about the effectiveness of a Lifestyle Modification Programme (LMP) and an LMP plus Information and Communication Technologies (LMP + ICTs) when compared to Treatment as Usual (TAU). Methods: We conducted an open-label, multicentre, pragmatic, randomised clinical trial. A total of 188 individuals that visited a general practitioner and met the inclusion criteria were randomised. LMP consisted of six weekly 90-minute group sessions focusing on lifestyle improvement. LMP + ICTs was a hybrid of the LMP format with the inclusion of a wearable smartwatch. We used linear mixed models (with a random intercept and an unstructured covariance) to evaluate the effectiveness of the interventions, and an intention-to-treat analysis and Multiple Imputation technique for handling missing data. Results: LMP + ICTs showed a statistically significant reduction on depressive symptoms (b = −2.68, 95 % CI = [−4.239, −1.133] p = .001) and sedentarism (b = −37.38, 95 % CI [−62.930, −11.833], p = .004) compared to TAU. Limitations: Most of the dropouts were due to time restrictions. Conclusions: In long-term, LMPs plus ICTs administered in PHCs to people suffering from depression were effective in reducing depressive symptomatology and sedentarism comparing to TAU. More research is needed to enhance adherence to lifestyle recommendations. These promising programmes could be easily implemented in PHCs. info:eu-repo/grantAgreement/ES/DGA/B21-20R-GAIAP info:eu-repo/grantAgreement/ES/ISCIII/PI18-01336 info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0005 info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 4.9 2023 CLINICAL NEUROLOGY 35 / 280 = 0.125 2023 Q1 T1 PSYCHIATRY 38 / 279 = 0.136 2023 Q1 T1 PSYCHIATRY 38 / 279 = 0.136 2023 Q1 T1 2.082 2023 Psychiatry and Mental Health 2023 Q1 Clinical Psychology 2023 Q1 10.9 2023 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Oliván-Blázquez, Bárbara Universidad de Zaragoza (orcid)0000-0001-6565-9699 Pérez Algorta, Guillermo Serrano-Ripoll, Maria J. Olszewski, Linda E. Turón-Lanuza, Alberto Universidad de Zaragoza (orcid)0000-0002-8807-8958 4009 740 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicología Social 4014 623 Universidad de Zaragoza Dpto. Economía Aplicada Área Métodos Cuant.Econ.Empres 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 332 (2023), 231-237 J. affect. disord. Journal of Affective Disorders 0165-0327 828668 http://zaguan.unizar.es/record/126266/files/texto_completo.pdf Versión publicada 2187543 http://zaguan.unizar.es/record/126266/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:126266 articulos driver 2024-11-22-12:05:43 ARTICLE