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, I., Motrico, E., Moreno-Peral, P., Casajuana-Closas, M., López-Jiménez, T., Zabaleta-del-Olmo, E., Claveria Fontán, Ana, LLobera, J., Martí-Lluch, R., Ramos, R., Maderuelo-Fernández, J.-Á., Vicens, C., Domínguez-García, M., Bartolomé-Moreno, C., Recio-Rodriguez, J.I., Bellón, J.Á.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/20987
Acceso en línea:https://portalcientifico.sergas.gal//documentos/6433d260e8f2fa0e62f2b2f5
http://hdl.handle.net/20.500.11940/20987
Access Level:acceso abierto
Palabra clave:Humans
Depression
Health Behavior
Depressive Disorder, Major
Exercise
AS Vigo
AS Vigo AP
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spelling A multiple health behaviour change intervention to prevent depression: A randomized controlled trialGómez-Gómez, I.Motrico, E.Moreno-Peral, P.Casajuana-Closas, M.López-Jiménez, T.Zabaleta-del-Olmo, E.Claveria Fontán, AnaLLobera, J.Martí-Lluch, R.Ramos, R.Maderuelo-Fernández, J.-Á.Vicens, C.Domínguez-García, M.Bartolomé-Moreno, C.Recio-Rodriguez, J.I.Bellón, J.Á.HumansDepressionHealth BehaviorDepressive Disorder, MajorExerciseAS VigoAS Vigo APObjective: 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.This study was supported by the Carlos III Health Institute, the Spanish Ministry of Economy and Competitiveness via a health research grant (PI15/00114, PI15/00565, PI15/00762, PI15/01072, PI15/00896, PI15/01412, PI15/01151, PI15/00519, PI15/01133) through the Research Network in Preventive Activities and Health Promotion in Primary Care (redIAPP) , the European Union ERDF funds (European Regional DevelopmentFund) . The project also received a research grant from Carlos III Institute of Health, Ministry of Science and Innovation (Spain) co-funded with European Union - NextGenerationEU funds, through the Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS) , with references RD21/0016/0012, RD21/0016/0029, RD21/0016/0005, RD21/0016/0009, RD21/0016/0005 and RD21/0016/0001.2023info:eu-repo/semantics/articlehttps://portalcientifico.sergas.gal//documentos/6433d260e8f2fa0e62f2b2f5http://hdl.handle.net/20.500.11940/20987reponame:RUNA. Repositorio da Consellería de Sanidade e Sergasinstname:Servizo Galego de Saúde (SERGAS)Ingléshttps://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:runa.sergas.gal:20.500.11940/209872026-06-12T08:40:47Z
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, I.
Humans
Depression
Health Behavior
Depressive Disorder, Major
Exercise
AS Vigo
AS Vigo AP
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, I.
Motrico, E.
Moreno-Peral, P.
Casajuana-Closas, M.
López-Jiménez, T.
Zabaleta-del-Olmo, E.
Claveria Fontán, Ana
LLobera, J.
Martí-Lluch, R.
Ramos, R.
Maderuelo-Fernández, J.-Á.
Vicens, C.
Domínguez-García, M.
Bartolomé-Moreno, C.
Recio-Rodriguez, J.I.
Bellón, J.Á.
author Gómez-Gómez, I.
author_facet Gómez-Gómez, I.
Motrico, E.
Moreno-Peral, P.
Casajuana-Closas, M.
López-Jiménez, T.
Zabaleta-del-Olmo, E.
Claveria Fontán, Ana
LLobera, J.
Martí-Lluch, R.
Ramos, R.
Maderuelo-Fernández, J.-Á.
Vicens, C.
Domínguez-García, M.
Bartolomé-Moreno, C.
Recio-Rodriguez, J.I.
Bellón, J.Á.
author_role author
author2 Motrico, E.
Moreno-Peral, P.
Casajuana-Closas, M.
López-Jiménez, T.
Zabaleta-del-Olmo, E.
Claveria Fontán, Ana
LLobera, J.
Martí-Lluch, R.
Ramos, R.
Maderuelo-Fernández, J.-Á.
Vicens, C.
Domínguez-García, M.
Bartolomé-Moreno, C.
Recio-Rodriguez, J.I.
Bellón, J.Á.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Humans
Depression
Health Behavior
Depressive Disorder, Major
Exercise
AS Vigo
AS Vigo AP
topic Humans
Depression
Health Behavior
Depressive Disorder, Major
Exercise
AS Vigo
AS Vigo AP
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
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://portalcientifico.sergas.gal//documentos/6433d260e8f2fa0e62f2b2f5
http://hdl.handle.net/20.500.11940/20987
url https://portalcientifico.sergas.gal//documentos/6433d260e8f2fa0e62f2b2f5
http://hdl.handle.net/20.500.11940/20987
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:RUNA. Repositorio da Consellería de Sanidade e Sergas
instname:Servizo Galego de Saúde (SERGAS)
instname_str Servizo Galego de Saúde (SERGAS)
reponame_str RUNA. Repositorio da Consellería de Sanidade e Sergas
collection RUNA. Repositorio da Consellería de Sanidade e Sergas
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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