Jump Step - A Participatory Approach to Physical Activity & Mental Wellness

NCT02549547 | Unknown

• 1 other identifier: ID: H15-01932
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 3

Brief Summary

The WHO, the Pan American Health Organization, the EU Council of Ministers, the World Federation of Mental Health, and the UK Royal College of Psychiatrists all agree -"there can be no health without mental health". Within Canada, 6.7M people live with a mental illness and when family and caregivers are included almost everyone is affected. A systematic review (2014) concluded that physical activity has a significant potential for reducing depressive symptoms in people with a mental illness. Globally, physical inactivity is "pandemic". Current guidelines recommend a minimum of only a 150 minutes a week of moderately vigorous exercise but 85% of Canadians do not meet the national recommendations. How then can people with depression be motivated to become physically more active? Group Medical Visits (GMVs) can be used to provide health services and they have proven effective in some settings, including mood disorders. As well as providing economic and resource efficiencies, the GMV model has the potential to add a 'support group/accountability' element for behavioural interventions such as physical activity promotion; such influence is not present in an individual patient-physician consultation. "Jump Step" is a 14-week program within a GMV setting designed to motivate and support people with depression to engage in regular physical activity. The investigators seek to design, implement, and evaluate the effectiveness of the Group Medical Visits focused on promoting physical activity for patients with depression.

Conditions

Major Depressive Disorder; Bipolar, Depression

Keywords

anxiety; depression; exercise; group; group medical visit; mood disorder; physical activity; primary care

Outcome Measures

Primary Outcomes (1)

• 'Jump Step Intervention Questionnaire'

  We will interview participants about physical activity levels, as well as their experience within the Jump Step intervention and its impact on their lives. We will also collect demographic data (age, gender, annual income, education level, self-identified disabilities, etc.)

  Post-Intervention (14 weeks)

Secondary Outcomes (10)

• Physical Activity

  Baseline

• Physical Activity

  Post-Intervention (14 weeks)

• Patient Activation

  Baseline

• Patient Activation

  Post-Intervention (14 weeks)

• Anxiety

  Baseline

Other Outcomes (2)

• 'Jump Step Facilitators Questionnaire'

  Baseline

• 'Jump Step Facilitators Questionnaire'

  Post-Intervention (14 weeks)

Study Arms (1)

Lifestyle Intervention

EXPERIMENTAL

Physical Activity focused, interdisciplinary, Group Medical Visits (GMVs)

Behavioral: Group Medical Visits

Interventions

Group Medical Visits BEHAVIORAL

Cohorts will participate in a weekly series of 14 Group Medical Visits (GMVs) co-led by a psychiatrist and an exercise professional. Each two-hour Group Medical Visit will be divided into three sections: * Group check in/out; enter patients weekly step count into database; review and outline the day's group program - 20 minutes * Group discussion, regarding selected physical activity topics including psychiatric issues - 50 minutes * Physical activity component - 50 minutes The 'content' or curriculum of the GMVs will support participant Self-Management/Activation. Research has consistently emphasized the role of positive feedback, social support, reinforcement, goal setting, and motivation for improving person's self-perception to uptake physical activity.

Lifestyle Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• are adults (≥18yrs)
• have a confirmed psychiatric assessment of Major Depressive Disorder (MDD) and/or Bipolar II, depressive
• are of moderate or higher severity (PHQ-9 \>14)
• are community-dwelling and able to attend Group Medical Visits in the Lower Mainland
• are able to comply with scheduled visits, treatment plan, and other procedures;
• read, write, and speak English with acceptable auditory and visual acuity
• provide signed/dated informed consent; and
• able to walk independently.

You may not qualify if:

• Active psychotic symptoms
• a primary active diagnosis of substance abuse.
• Participants will need to have a working proficiency in English as group discussions, accompanying texts, and instructions will all be in English. To provide adequate translation services for these elements in one or more other languages is beyond our budget and may also influence the dynamics of the GMV. It could be considered in a future iteration of this research program.

Sponsors & Collaborators

• University of British Columbia: lead
• Vancouver Foundation: collaborator
• Mood Disorders Association of BC: collaborator
• YMCA: collaborator

Study Sites (3)

Centre for Hip Health & Mobility, Department of Family Practice

Vancouver, British Columbia, V5Z 1M9, Canada

RECRUITING

Mood Disorders Association of BC

Vancouver, British Columbia, V6B 5J3, Canada

RECRUITING

Robert Lee YMCA

Vancouver, British Columbia, V6Z 1Y2, Canada

RECRUITING

MeSH Terms

Conditions

Depressive Disorder, Major; Bipolar Disorder; Anxiety Disorders; Depression; Motor Activity; Mood Disorders

Condition Hierarchy (Ancestors)

Depressive Disorder; Mental Disorders; Bipolar and Related Disorders; Behavioral Symptoms; Behavior

Study Officials

• Joanie Sims-Gould, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Central Study Contacts

David Adams, BA, BFA

CONTACT

604.376.1474; david.adams@hiphealth.ca

Sara Vazirian, MD

CONTACT

604-875-4111; sara.vazirian@hiphealth.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 1, 2015
• First Posted: September 15, 2015
• Study Start: August 1, 2015
• Primary Completion: January 1, 2016
• Study Completion: June 1, 2017
• Last Updated: September 15, 2015

Record last verified: 2015-09

Locations

CA (3)