Outdoor swimming as a nature-based intervention for depressio
- Conditions
- DepressionMental and Behavioural Disorders
- Registration Number
- ISRCTN24759023
- Lead Sponsor
- Sussex Partnership NHS Foundation Trust
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Ongoing
- Sex
- All
- Target Recruitment
- 480
1. Participants give fully informed consent to participate
2. Symptoms of depression, as determined by the PHQ-9 (scores 5 and above) and meeting DSM 5 criteria for Major Depressive Disorder (this will also be assessed using the Mini International Neuropsychiatric Interview [MINI])
3. Self-reported ability to swim a minimum distance in a heated pool for sea (50 m, 2 lengths of a normal swimming pool) and lake (25 m, 1 length of a normal swimming pool) locations, no swimming experience is required for outdoor unheated swimming pools (lidos)
4. Adult aged 18 years or older
5. Able to understand spoken instructions in English or in a language spoken by the swim coaches that are recruited
1. Risk of suicide (participants deemed a high risk of suicide based on a score of 17 and over from the MINI suicidality module)
2. Evidence of a current psychotic disorder (ascertained from the MINI psychotic disorders module conducted during a phone call with RA and further assessed by the medical team)
3. History of serious cardiac abnormalities determined after medical review and assessment
4. Respiratory conditions triggered by cold such as poorly controlled exercise-induced asthma
5. Cold-water urticaria
6. Participants with a BMI of 17 or under
7. Moderate to severe learning disability
8. History of non-freezing cold injuries, if not mitigated (wearing boots/gloves)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Depression severity is measured using Patient Health Questionnaire (PHQ-9) at baseline, at 12 and 38 weeks post-randomisation
- Secondary Outcome Measures
Name Time Method