A multiple health behaviour change intervention to prevent depression: A randomized controlled trial.

Autor: Gómez-Gómez I; Department of Psychology, Universidad Loyola Andalucía, Seville, Spain; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain., Motrico E; Department of Psychology, Universidad Loyola Andalucía, Seville, Spain; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain. Electronic address: emotrico@uloyola.es., Moreno-Peral P; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Biomedical Research Institute of Málaga (IBIMA-Bionand platform), Malaga, Spain., Casajuana-Closas M; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Universitat Autònoma de Barcelona, Bellaterra, Spain., López-Jiménez T; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Universitat Autònoma de Barcelona, Bellaterra, Spain., Zabaleta-Del-Olmo E; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Atenció Primària Barcelona Ciutat, Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain; Nursing department, Faculty of Nursing, Universitat de Girona, Girona, Spain., Clavería A; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; I-Saúde Group, South Galicia Health Research Institute, Vigo, Spain; Vigo Health Area, SERGAS, Vigo, Spain., LLobera J; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Primary Care Research Unit of Mallorca, Balearic Islands Health Service (Ib-Salut), Balearic Islands, Spain; Health Research Institute of the Balearic Islands (IdISBa), Spain., Martí-Lluch R; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Universitat Autònoma de Barcelona, Bellaterra, Spain; Unitat de suport a la recerca de Girona, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Girona, Spain.; Group of research in Vascular Health, Girona Biomedical Research Institute (IdibGi), Salt, Spain., Ramos R; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Unitat de suport a la recerca de Girona, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Girona, Spain.; Group of research in Vascular Health, Girona Biomedical Research Institute (IdibGi), Salt, Spain; Department of Medical Sciences, School of Medicine, Campus Salut, Universitat de Girona, Girona, Spain., Maderuelo-Fernández JÁ; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Institute of Biomedical Research of Salamanca (IBSAL), Salamanca, Spain; Unidad de Investigación de Atención Primaria de Salamanca (APISAL), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain; Health Service of Castilla y León (SACyL), Salamanca, Spain., Vicens C; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Primary Care Research Unit of Mallorca, Balearic Islands Health Service (Ib-Salut), Balearic Islands, Spain; Son Serra-La Vileta Health Care Centre, Balearic Health Service (Ib-Salut) Palma, Illes Balears, Spain., Domínguez-García M; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Calatayud Health Center, Aragonese Health Service, Zaragoza, Spain; GIIS011 Group, Aragón Health Research Institute, Zaragoza, Spain., Bartolomé-Moreno C; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; GIIS011 Group, Aragón Health Research Institute, Zaragoza, Spain., Recio-Rodriguez JI; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Facultad de Enfermería y Fisioterapia, Universidad de Salamanca, Spain., Bellón JÁ; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Spain; Prevention and Health Promotion Research Network (redIAPP), Spain; Biomedical Research Institute of Málaga (IBIMA-Bionand platform), Malaga, Spain; El Palo Health Centre, Andalusian Health Service (SAS), Málaga, Spain; Department of Public Health and Psychiatry, University of Málaga (UMA), Spain.
Jazyk: angličtina
Zdroj: General hospital psychiatry [Gen Hosp Psychiatry] 2023 May-Jun; Vol. 82, pp. 86-94. Date of Electronic Publication: 2023 Feb 22.
DOI: 10.1016/j.genhosppsych.2023.02.004
Abstrakt: Objective: To examine the effectiveness of a 12-month MHBC intervention in the prevention of onset depression in primary health care (PHC).
Methods: Twenty-two PHC centres took part in the cluster-randomized controlled trial. Patients were randomized to receive either usual care or an MHBC intervention. The endpoints were onset of major depression and reduction of depressive symptoms in participants without baseline depression at a 12-month follow-up.
Results: 2531 patients agreed and were eligible to participate. At baseline, around 43% were smokers, 82% were non-adherent to the Mediterranean diet and 55% did not perform enough physical activity. The intervention group exhibited a greater positive change in two or more behaviours (OR 1.75 [95%CI: 1.17 to 2.62]; p = 0.006); any behaviour (OR 1.58 [95%CI: 1.13 to 2.20]; p = 0.007); and adherence to the Mediterranean diet (OR 1.94 [95%CI: 1.29 to 2.94]; p = 0.002), while this increase was not statistically significant for smoking and physical activity. The intervention was not effective in preventing major depression (OR 1.17; [95% CI 0.53 to 2.59)]; p = 0.690) or reducing depressive symptoms (Mean difference: 0.30; [95% CI -0.77 to 1.36]; p = 0.726) during follow-up.
Conclusions: As compared to usual care, the MHBC intervention provided a non-significant reduction in the incidence of major depression.
Trial Registration: ClinicalTrials.gov, NCT03136211.
Competing Interests: Declaration of Competing Interest The authors declare they have no conflicts of interest.
(Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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