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

Gómez-Gómez, Irene; Motrico, Emma; Moreno-Peral, Patricia; Casajuana-Closas, Marc; López-Jiménez, Tomàs; Zabaleta-Del-Olmo, Edurne; Clavería, Ana; Llobera Cànaves, Joan; Martí-Lluch, Ruth; Ramos, Rafael; Maderuelo-Fernández, José-Ángel; Vicens-Caldentey, Caterina; Domínguez-García, Marta; Bartolomé-Moreno, Cruz; Recio-Rodriguez, Jose I; Bellón, Juan Á

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

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 intervent...

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Autores:	Gómez-Gómez, Irene, Motrico, Emma, Moreno-Peral, Patricia, Casajuana-Closas, Marc, López-Jiménez, Tomàs, Zabaleta-Del-Olmo, Edurne, Clavería, Ana, Llobera Cànaves, Joan, Martí-Lluch, Ruth, Ramos, Rafael, Maderuelo-Fernández, José-Ángel, Vicens-Caldentey, Caterina, Domínguez-García, Marta, Bartolomé-Moreno, Cruz, Recio-Rodriguez, Jose I, Bellón, Juan Á
Tipo de recurso:	artículo
Fecha de publicación:	2023
País:	España
Institución:	Instituto de Salud Carlos III (ISCIII)
Repositorio:	Repisalud
Idioma:	inglés
OAI Identifier:	oai:repisalud.isciii.es:20.500.12105/23573
Acceso en línea:	https://hdl.handle.net/20.500.12105/23573
Access Level:	acceso abierto
Palabra clave:	Ejercicio Físico Trastorno Depresivo Mayor Humanos Depresión Conductas Relacionadas con la Salud Health Behavior Depressive Disorder, Major Humans Depression Exercise

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spelling	A multiple health behaviour change intervention to prevent depression: A randomized controlled trialGómez-Gómez, IreneMotrico, EmmaMoreno-Peral, PatriciaCasajuana-Closas, MarcLópez-Jiménez, TomàsZabaleta-Del-Olmo, EdurneClavería, AnaLlobera Cànaves, JoanMartí-Lluch, RuthRamos, RafaelMaderuelo-Fernández, José-ÁngelVicens-Caldentey, CaterinaDomínguez-García, MartaBartolomé-Moreno, CruzRecio-Rodriguez, Jose IBellón, Juan ÁEjercicio FísicoTrastorno Depresivo MayorHumanosDepresiónConductas Relacionadas con la SaludHealth BehaviorDepressive Disorder, MajorHumansDepressionExerciseObjective: 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.Elsevier20242024-10-0920232023-01-0120232023-01-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttps://hdl.handle.net/20.500.12105/23573reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/235732026-06-12T12:43:37Z
dc.title.none.fl_str_mv	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
title	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
spellingShingle	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial Gómez-Gómez, Irene Ejercicio Físico Trastorno Depresivo Mayor Humanos Depresión Conductas Relacionadas con la Salud Health Behavior Depressive Disorder, Major Humans Depression Exercise
title_short	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
title_full	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
title_fullStr	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
title_full_unstemmed	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
title_sort	A multiple health behaviour change intervention to prevent depression: A randomized controlled trial
dc.creator.none.fl_str_mv	Gómez-Gómez, Irene Motrico, Emma Moreno-Peral, Patricia Casajuana-Closas, Marc López-Jiménez, Tomàs Zabaleta-Del-Olmo, Edurne Clavería, Ana Llobera Cànaves, Joan Martí-Lluch, Ruth Ramos, Rafael Maderuelo-Fernández, José-Ángel Vicens-Caldentey, Caterina Domínguez-García, Marta Bartolomé-Moreno, Cruz Recio-Rodriguez, Jose I Bellón, Juan Á
author	Gómez-Gómez, Irene
author_facet	Gómez-Gómez, Irene Motrico, Emma Moreno-Peral, Patricia Casajuana-Closas, Marc López-Jiménez, Tomàs Zabaleta-Del-Olmo, Edurne Clavería, Ana Llobera Cànaves, Joan Martí-Lluch, Ruth Ramos, Rafael Maderuelo-Fernández, José-Ángel Vicens-Caldentey, Caterina Domínguez-García, Marta Bartolomé-Moreno, Cruz Recio-Rodriguez, Jose I Bellón, Juan Á
author_role	author
author2	Motrico, Emma Moreno-Peral, Patricia Casajuana-Closas, Marc López-Jiménez, Tomàs Zabaleta-Del-Olmo, Edurne Clavería, Ana Llobera Cànaves, Joan Martí-Lluch, Ruth Ramos, Rafael Maderuelo-Fernández, José-Ángel Vicens-Caldentey, Caterina Domínguez-García, Marta Bartolomé-Moreno, Cruz Recio-Rodriguez, Jose I Bellón, Juan Á
author2_role	author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv	Ejercicio Físico Trastorno Depresivo Mayor Humanos Depresión Conductas Relacionadas con la Salud Health Behavior Depressive Disorder, Major Humans Depression Exercise
topic	Ejercicio Físico Trastorno Depresivo Mayor Humanos Depresión Conductas Relacionadas con la Salud Health Behavior Depressive Disorder, Major Humans Depression Exercise
description	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.
publishDate	2023
dc.date.none.fl_str_mv	2023 2023-01-01 2023 2023-01-01 2024 2024-10-09
dc.type.none.fl_str_mv	research article http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://hdl.handle.net/20.500.12105/23573
url	https://hdl.handle.net/20.500.12105/23573
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv	openAccess
dc.publisher.none.fl_str_mv	Elsevier
publisher.none.fl_str_mv	Elsevier
dc.source.none.fl_str_mv	reponame:Repisalud instname:Instituto de Salud Carlos III (ISCIII)
instname_str	Instituto de Salud Carlos III (ISCIII)
reponame_str	Repisalud
collection	Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score	15,811543

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

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