Step Up Wellness Program for Depression, Physical Inactivity, and Smoking
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Depression
- Sponsor
- Kaiser Permanente
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- Depression Score
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This randomized pilot study will evaluate the feasibility and acceptability of a phone-based wellness program for improving mood, physical activity, and smoking abstinence rates among people with depression who also are physically inactive and smoke cigarettes.
Detailed Description
This pilot study will evaluate the feasibility, acceptability, and potential effectiveness of the Step Up Wellness Program among people with depression who also are physically inactive and smoke cigarettes. Participation in this study will last 6 months. All participants will complete a baseline survey and then be assigned randomly to receive the Step Up Wellness Program or usual care for 3 months. Participants in the Step Up program will receive weekly phone calls from a study health coach. During these calls, the coach will discuss ways to improve and manage mood, increase physical activity, and prepare to quit smoking. Participants will also be given materials to review and homework assignments between calls. Participants in the usual care group will receive standard care which includes referrals for treatment of depression and nicotine dependence, as well as self-help information on physical activity. All participants will be surveyed at 4 and 6 months post-enrollment. Participants will also provide qualitative feedback on the program.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Member of Group Health insurance plan
- •Aged 18 to 75
- •Experiencing at least moderate depressive symptoms
- •Low physical activity defined as failure to meet Centers for Disease Control (CDC) guidelines for weekly activity OR low to moderate physical activity as assessed by International Physical Activity Questionnaire (IPAQ)
- •Current smoker
- •Has a phone
- •Able to read and speak in English
- •No mobility or physical impairments that would prevent engaging in moderate physical activity
- •Without a hearing impairment that would prevent participation with the phone-based counseling or assessments
Exclusion Criteria
- •Self-report of bipolar disorder or schizophrenia
- •Currently receiving specialty mental health care or smoking cessation treatment
- •If on an antidepressant, has been taking it less than 30 days
Outcomes
Primary Outcomes
Depression Score
Time Frame: 6 months
% with significant change (50% reduction in SCL \[Symptom Checklist\] depression score)
Abstinent From Smoking
Time Frame: 6 months
self-reported 7 day point prevalent abstinence with non-responders coded as smokers
Days Walk Per Week
Time Frame: 6 months
Mean change in days walk per week from baseline
Minutes Per Week of Moderate Physical Activity
Time Frame: 6 months
Mean change from baseline as assessed using International Physical Activity Questionnaire (IPAQ)
Minutes Per Week of Vigorous Physical Activity
Time Frame: 6 months
Mean change from baseline assessed using IPAQ physical activity scale
Secondary Outcomes
- Number of Cigarettes Smoked Per Day(4 months)
- Quit Attempt(6 months)