Bridging the Gap: Implementing BRIDGES (Brussels Resilience and Inclusion for Depression - Guidance, Exercise and Support) to Shape Adolescent Outpatient Mental Health Care. A Randomized Control Study Protocol
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Depressive symptoms
研究概览
简要总结
Together with teenagers, we have developed a new approach: BRIDGES, which stands for "In Brussels, Resilience and Inclusion for Depression through Guidance, Exercise, and Support." BRIDGES aims to help young people with depression get moving again in their daily lives, at their own pace and in ways that are good for them.
详细描述
Even though physical activity is recognized for its mental and physical health benefits, we find that adolescents going through a difficult psychological period often engage in very little of it. Current physical activity offerings do not always take into account their specific needs, preferences, or daily realities. That is why we have co-created a new approach with adolescents: BRIDGES, which stands for "In Brussels, Resilience and Inclusion for Depression through Guidance, Exercise, and Support." This project includes 18 30-minute sessions over 3 months with a physical therapist specializing in mental health, including individual follow-ups with advice and discussions, as well as putting you in touch with sports clubs or associations of your choice. The goal is to help you get moving again in your daily life, at your own pace and in a way that makes you feel good.
This study has a waiting list control group, so young people can either participate immediately or wait 6 months to participate.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Person in charge of randomisation Stastitician in charge of analysis
入排标准
- 年龄范围
- 12 Years 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All adolescents aged 12 to 19 with a diagnosis of depression who are receiving outpatient care through AREA+
- •voluntary participation and accepting the randomisation
- •being admitted at AREA+
- •being able to stay focused for 30 minutes
- •having a good knowledge of French
- •physically inactive defined as not meeting the PA guidelines from World Health Organisation (28) following the corresponding age (i.e. at least 420 min of moderate to vigorous physical activity (MVPA) /week for those aged 12-17 and at least 150 min of MVPA /week for those aged 18 and 19 years
- •living in Brussels
排除标准
- •intellectual disability (defined as an intelligence quotient < 70)
- •participants with serious medical problems or medical precautions prohibiting higher-intensity exercise (e.g., severe metabolic disorders, oncologic disease, unstable diabetes) according to the recommendations of the American College of Sports Medicine.
研究组 & 干预措施
The BRIDGES intervention
The BRIDGES intervention comprises 18 individualized sessions delivered over 12 weeks, combining physiotherapist-led counselling with structured support to transition into community-based physical activity.
Motivational interviewing techniques facilitate collaborative, non-judgmental dialogue, helping adolescents resolve ambivalence about physical activity. Through reflective listening and open-ended questions, physiotherapists guide participants to explore their values, goals, and motivations, fostering a sense of ownership over the behaviour change process. Drawing on the self-determination theory, counselling targets three key psychological needs.Relevant opportunities from the AREA+ network, including local sports clubs and initiatives, are introduced in ways that align with adolescents' interests and intrinsic motivation. All participating clubs and associations are carefully selected.
干预措施: The BRIDGES (In Brussels, Resilience and Inclusion for Depression through Guidance, Exercise and Support) intervention (Behavioral)
Waiting-list
Accordingly, the comparator group will be a waitlist control receiving usual care, allowing evaluation of the added benefit of the intervention within the existing care context. The usual standard outpatient care, which may include psychotherapy, medication management, or other usual clinical services. No structured physical activity intervention is provided.
结局指标
主要结局
Depressive symptoms
时间窗: Throughout the entire study, during approximately 15 months
Patient Health Questionnaire-9 modified for Adolescents (PHQ-A) The PHQ-A is a brief instrument modified to adolescents used to assess the severity of depression (41). It contains 9 items that are on a scale from 0 to 3, with the total score ranging from 0 to 27.
Physical activity levels
时间窗: Throughout the entire study, during approximately 15 months
Physical Activity Vital Sign (PAVS) The PAVS is a screening tool used to assess patients' physical activity levels (37). It consists of two questions: (a) on average, how many days per week do you engage in moderate to vigorous physical activity, and (b) on those days, how many minutes do you typically spend participating in moderate to vigorous physical activity? The product of these responses (days × minutes) provides an estimate of the patient's average weekly minutes of physical activity in moderate to vigorous physical activity.
次要结局
- Depressive symptoms (larger evaluation)(Throughout the entire study, during approximately 15 months)
- Multidimensional Scale of Perceived Social Support (MSPSS)(Throughout the entire study, during approximately 15 months)
- Adapted Exercise self-efficacy (SEE)(Throughout the entire study, during approximately 15 months)
- Astrand Rhyming test (ART)(Throughout the entire study, during approximately 15 months)
- Waist-to-height ratio (WHtR)(Throughout the entire study, during approximately 15 months)
- Motivational interviewing fidelity(Throughout the entire study, during approximately 15 months)
- Client Perception of Motivational Interviewing(Throughout the entire study, during approximately 15 months)
- The Health Care Climate Questionnaire(Throughout the entire study, during approximately 15 months)
- Logbook(Throughout the entire study, during approximately 15 months)