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Testing a Lifestyle Physical Activity Intervention for Women With Depression in Alcohol Treatment (HEART)
The primary aim of this project is to test the efficacy of a technology-supported lifestyle physical activity (LPA) intervention for preventing relapse among women with depression engaged in alcohol treatment. A total of 214 women from the Alcohol and Drug Partial Hospitalization Program (ADP) at Butler Hospital with AUD and depression will be recruited and randomly assign them to either a: 1) LPA+Fitbit intervention or 2) Fitbit Only control condition. Follow-up assessments will occur at 6-weeks, end of treatment (EOT) at 3 months, and 6, 9 and 12 months. Participants will also complete 3, 10-day periods of ecological momentary assessment (EMA) during early recovery, at approximately weeks 1 & 2, 5 & 6, and again at weeks 11 & 12.
Testing a Lifestyle Physical Activity Intervention for Women With Depression in Alcohol Treatment
- HEART
- 202006-001
- R01AA028186 (Zuwendung/Vertrag der US-NIH)
| Teilnehmergruppe/Studienarm | Intervention/Behandlung |
|---|---|
ExperimentellLPA+Fitbit Participants in this group receive a Lifestyle Physical Activity intervention and are provided with a Fitbit to collect activity data | Lifestyle Physical Activity (LPA) This intervention has 3 components: (1) an orientation session to LPA and using the Fitbit; (2) Six telephone physical activity counseling sessions; and (3) monitoring activity with the Fitbit, which is provided to them during their study participation. |
Aktives VergleichspräparatFitbit Only Participants in this group are provided with a Fitbit to collect activity data | Nur Fitbit Participants are provided with a Fitbit during their study participation. |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
Percent of sample that is abstinent from alcohol | Timeline Follow-back Interview will be used to determined whether participants drank any alcohol during the time frame assessed. | 12 months |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
Alcohol-Related Consequences | The Short Inventory of Problems will be used to measure the experience of alcohol-related consequences during the study period. | 12 months |
Depressive symptoms | Symptoms of depression, as measured by the Patient Health Questionnaire-9 | 12 months |
Physical Activity levels | Objectively measured steps/day with a Fitbit | 12 months |
Alcohol Abstinence Self-Efficacy | Alcohol abstinence self-efficacy, as measured by Alcohol Abstinence Self-Efficacy Scale | 12 months |
Cardiorespiratory Fitness (estimated peak VO2) | Estimated VO2 max will be determined by the 6-minute Cycle Ergometer Exercise test | 12 months |
- female
- between 18 and 65 years of age
- score of 5 or above on the PHQ-9 (need to have a score of 1 on questions 1 OR 2)
- Are sedentary/low active (i.e. less than 150 minutes/week of moderate-intensity exercise for the past 3 months)
- are currently engaged in alcohol treatment
- own a smartphone - to allow for EMA software and Fitbit application
- current DSM-5 diagnosis moderate/severe substance use disorder or anorexia or bulimia nervosa
- a history of psychotic disorder or current psychotic symptoms
- current suicidality or homicidality
- current mania
- marked organic impairment according to either the medical record or responses to the diagnostic assessments
- physical or medical problems that would not allow safe participation in a program of moderate intensity physical activity (i.e., not medically cleared by study physician)
- current pregnancy or intent to become pregnant during the next 12 weeks
Rhode Island