Key result
New RCT protocol evaluates a self-managed pedometer intervention for major depressive disorder.
Why the study?
While pedometer interventions improve activity and health outcomes in somatic disorders, supervised exercise remains more common for inpatient depression; whether self-managed pedometer interventions reduce depression and increase physical activity during and after hospitalization is unknown.
Does a self-managed pedometer intervention added to treatment as usual improve depression severity and physical activity in inpatients with major depressive disorder?
RCT (n=400)
randomized
Yes
Does a self-managed pedometer intervention added to treatment as usual improve depression severity and physical activity in inpatients with major depressive disorder?
This study protocol outlines a trial to determine if a pedometer-based intervention can improve physical activity and reduce depression severity in inpatients with major depressive disorder.
OBJECTIVES: Increasing the number of daily steps by using a pedometer and a diary leads to an activity increase and improved health outcomes in a variety of somatic disorders. Hence, for the inpatient treatment of depression, supervised exercise interventions are more widespread. We aim to examine if a self-managed pedometer intervention (PI) with the option of being proceeded after discharge leads to reduction of depression and to a physical activity (PA) increase. METHODS: The Step Away from Depression (SAD) study is a multicenter randomized controlled trial targeting 400 patients with major depressive disorder. Treatment as usual (TAU) is compared to TAU plus PI after 4 weeks, at discharge, and 6 months after hospital admission. Primary outcomes are clinically rated depression severity and accelerometer-measured step counts. Secondary outcomes include self-reported depression symptoms and PA level, psychiatric symptoms, health-related quality of life, self-efficacy, and components of the Motivation Volition Process Model. RESULTS: We report the design of the SAD study considering several methodological aspects for exercise studies, in general. CONCLUSIONS: Results of our study will provide information about efficacy of PI for inpatient treatment and about interrelating processes of change concerning depression, PA, and aspects of motivation and volition.
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Große et al. (2020) conducted an RCT in major depressive disorder (n=400). Self-managed pedometer intervention (PI) plus Treatment as usual (TAU) vs. Treatment as usual (TAU) was evaluated on Clinically rated depression severity and accelerometer-measured step counts.
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