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Step Away From Depression - Evaluation of a Pedometer Intervention With Inpatients With Major Depression

Not Applicable
Completed
Conditions
Depression
Interventions
Device: Pedometer
Registration Number
NCT02850341
Lead Sponsor
Charite University, Berlin, Germany
Brief Summary

The purpose of this study is to determine if the use of pedometers can help depressive inpatients in psychiatric clinics to increase their level of physical activity. Therefore patients are given a pedometer and instructions how to raise their level of daily steps. Intervention group is compared with a control group that is receiving treatment-as-usual. The intervention is hypothesized to increase number of daily steps and have positive effects on mood, depression and anxiety.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
292
Inclusion Criteria
  • Major Depression, moderate to severe as main diagnosis
  • Inpatient status
  • Prospected inpatient treatment of at least 4 weeks
  • Able to understand german
Exclusion Criteria
  • Physical disease or disability that makes it impossible to reach the goal 5000 steps per day
  • Borderline personality disorder
  • Bipolar Disorder
  • Schizophrenia
  • Anorexia Nervosa
  • Dementia
  • Psychotic Depression
  • Pregnancy
  • Acute suicidality
  • Substance dependancies with actual consumption (except nicotine)
  • Current pedometer-use
  • More than 10.000 steps per day

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupPedometerPatients receive a pedometer and instructions how to raise their physical activity
Primary Outcome Measures
NameTimeMethod
Change in depressive symptoms - clinician ratedFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Depressive symptoms are rated by a blind study employee using MADRS

Change in average number of steps per dayFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Number of steps per day is objectively measured using accelerometry (ActiGraph GT1M)

Secondary Outcome Measures
NameTimeMethod
Change in health-related quality of lifeFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Health-related quality of life is measured using the Short-Form Health Questionnaire (SF-12)

Change in psychopathological symptomsFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Psychopathological symptoms are measured by the Symptom Checklist 27 (SCL-27)

Change in self-efficacy for physical activityFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Self-efficacy for physical activity is measured using six likert scaled items by Scholz, U., Sniehotta, F. \& Schwarzer, R. (2005)

Duration of inpatient treatment (Number of days)Duration of inpatient treatment is assessed at the end of inpatient treatment
Change in general self-efficacyFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

General self-efficacy is measured using the General-Self-Efficacy Scale (GSE)

Change in physical activity - objectiveFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Physical activity is objectively measured using accelerometry (ActiGraph GT1M)

Change in self concordance of the motivation for physical activityFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Self concordance of the Motivation for physical activity is measured using the "Sport- und bewegungsbezogene Selbstkonkordanz Skala", which consists of 12 likert scaled items

Change in anxiety symptomsFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Anxiety symptoms are measured using the Beck Anxiety Inventory (BAI)

Change in outcome expectancies for physical activityFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Outcome expectancies for physical activity are measured using 6 likert scaled items by Lippke S., Ziegelmann, J. P. \& Schwarzer, R. (2005)

Change in planning and barrier planning for physical activityFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Planning and barrier planning for physical activity is measured using 8 likert scaled items by Sniehotta, F. F. et al. (2005) / Renner, B. (2007)

Change in physical activity - subjectiveFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Physical activity is subjectively measured with the International Physical Activity Questionnaire (IPAQ)

Change in depressive symptomsFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Depressive symptoms are measured using the Beck Depression Inventory (BDI II)

Change in intention for physical activityFrom baseline (1.-3. day of inpatient treatment) to end of inpatient treatment (3 days before end of inpatient treatment)

Intention for physical activity is measured using two likert scaled items by Sniehotta, F. F., Schwarzer, R., Scholz, U., \& Schüz, B. (2005)

Trial Locations

Locations (9)

Oberhavel Clinics GmbH - Clinic for Psychiatry, Psychosomatics and Psychotherapy

🇩🇪

Hennigsdorf, Brandenburg, Germany

Paracelsus University Salzburg - Clinic for Psychiatry and Psychotherapy

🇦🇹

Salzburg, Austria

Ludwig Maximilian University Munich - Clinic for Psychiatry and Psychotherapy

🇩🇪

Munich, Bayern, Germany

Health Center Odenwaldkreis GmbH - Center for Mental Health

🇩🇪

Erbach, Hessen, Germany

University of Göttingen - Clinic for Psychiatry and Psychotherapy

🇩🇪

Göttingen, Niedersachsen, Germany

University RWTH Aachen, Clinic for Psychiatriy, Psychotherapy and Psychosomatic

🇩🇪

Aachen, Nordrhein-Westfalen, Germany

University of Frankfurt/Main - Clinic for Psychiatry, Psychosomatic and Psychotherapy

🇩🇪

Frankfurt am Main, Hessen, Germany

Ev.Luth. Diakonissenanstalt Flensburg - Clinic for Psychiatry, Psychosomatic and Psychotherapy

🇩🇪

Flensburg, Schleswig-Holstein, Germany

Charité Universitätsmedizin Berlin - Departement of Psychiatry

🇩🇪

Berlin, Germany

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