Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trial

IntroductionA physical activity counseling intervention based on a motivation-volition model was developed and delivered to in-patients with Major Depressive Disorders with the aim of increasing lifestyle physical activity. The aim of this study is to evaluate the short-term outcomes of this interve...

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Main Authors: Robyn Cody, Johannes Beck, Serge Brand, Lars Donath, Oliver Faude, Martin Hatzinger, Christian Imboden, Jan-Niklas Kreppke, Undine E. Lang, Sebastian Ludyga, Sarah Mans, Thorsten Mikoteit, Anja Oswald, Nina Schweinfurth, Lukas Zahner, Markus Gerber
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1045158/full
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author Robyn Cody
Johannes Beck
Serge Brand
Serge Brand
Serge Brand
Serge Brand
Serge Brand
Lars Donath
Oliver Faude
Martin Hatzinger
Christian Imboden
Jan-Niklas Kreppke
Undine E. Lang
Sebastian Ludyga
Sarah Mans
Thorsten Mikoteit
Anja Oswald
Nina Schweinfurth
Lukas Zahner
Markus Gerber
author_facet Robyn Cody
Johannes Beck
Serge Brand
Serge Brand
Serge Brand
Serge Brand
Serge Brand
Lars Donath
Oliver Faude
Martin Hatzinger
Christian Imboden
Jan-Niklas Kreppke
Undine E. Lang
Sebastian Ludyga
Sarah Mans
Thorsten Mikoteit
Anja Oswald
Nina Schweinfurth
Lukas Zahner
Markus Gerber
author_sort Robyn Cody
collection DOAJ
description IntroductionA physical activity counseling intervention based on a motivation-volition model was developed and delivered to in-patients with Major Depressive Disorders with the aim of increasing lifestyle physical activity. The aim of this study is to evaluate the short-term outcomes of this intervention.MethodsA multi-center randomized controlled trial was conducted in four Swiss psychiatric clinics. Adults who were initially insufficiently physically active and were diagnosed with Major Depressive Disorder according to ICD-10 were recruited. The sample consisted of 113 participants in the intervention group (Mage = 42 years, 56% women) and 107 in the control group (Mage = 40 years, 49% women). Motivation and volition determinants of physical activity were assessed with questionnaires. Implicit attitudes were assessed with an Implicit Association Test. Physical activity was self-reported and measured with hip-worn accelerometers over 7 consecutive days starting on the day following the data collection.ResultsAccording to accelerometer measures, step count decreased on average 1,323 steps less per day (95% CI = −2,215 to −431, p < 0.01) over time in the intervention group compared to the control group. A trend was recognized indicating that moderate-to-vigorous physical activity decreased on average 8.37 min less per day (95% CI = −16.98 to 0.23, p < 0.06) over time in the intervention group compared to the control group. The initial phase of the intervention does not seem to have affected motivational and volitional determinants of and implicit attitudes toward physical activity.ConclusionPhysical activity counseling may be considered an important factor in the transition from in-patient treatment. Methods to optimize the intervention during this period could be further explored to fulfill the potential of this opportunity.Clinical trial registrationhttps://www.isrctn.com/ISRCTN10469580, identifier ISRCTN10469580.
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spelling doaj.art-998d7e9cea2d43daaf035a09b110ed5a2023-01-18T05:21:33ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-01-011310.3389/fpsyt.2022.10451581045158Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trialRobyn Cody0Johannes Beck1Serge Brand2Serge Brand3Serge Brand4Serge Brand5Serge Brand6Lars Donath7Oliver Faude8Martin Hatzinger9Christian Imboden10Jan-Niklas Kreppke11Undine E. Lang12Sebastian Ludyga13Sarah Mans14Thorsten Mikoteit15Anja Oswald16Nina Schweinfurth17Lukas Zahner18Markus Gerber19Department of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandPsychiatric Clinic Sonnenhalde, Riehen, SwitzerlandDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandAdult Psychiatric Clinics Universitäre Psychiatrische Klinik für Erwachsene (UPKE), University of Basel, Basel, SwitzerlandSleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, IranSubstance Use Prevention Research Center and Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, IranSchool of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, IranDepartment of Intervention Research in Exercise Training, German Sport University Cologne, Cologne, GermanyDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandPsychiatric Services Solothurn, Solothurn, SwitzerlandPrivate Clinic Wyss, Münchenbuchsee, SwitzerlandDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandAdult Psychiatric Clinics Universitäre Psychiatrische Klinik für Erwachsene (UPKE), University of Basel, Basel, SwitzerlandDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandPrivate Clinic Wyss, Münchenbuchsee, SwitzerlandPsychiatric Services Solothurn, Solothurn, SwitzerlandPsychiatric Clinic Sonnenhalde, Riehen, SwitzerlandAdult Psychiatric Clinics Universitäre Psychiatrische Klinik für Erwachsene (UPKE), University of Basel, Basel, SwitzerlandDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandIntroductionA physical activity counseling intervention based on a motivation-volition model was developed and delivered to in-patients with Major Depressive Disorders with the aim of increasing lifestyle physical activity. The aim of this study is to evaluate the short-term outcomes of this intervention.MethodsA multi-center randomized controlled trial was conducted in four Swiss psychiatric clinics. Adults who were initially insufficiently physically active and were diagnosed with Major Depressive Disorder according to ICD-10 were recruited. The sample consisted of 113 participants in the intervention group (Mage = 42 years, 56% women) and 107 in the control group (Mage = 40 years, 49% women). Motivation and volition determinants of physical activity were assessed with questionnaires. Implicit attitudes were assessed with an Implicit Association Test. Physical activity was self-reported and measured with hip-worn accelerometers over 7 consecutive days starting on the day following the data collection.ResultsAccording to accelerometer measures, step count decreased on average 1,323 steps less per day (95% CI = −2,215 to −431, p < 0.01) over time in the intervention group compared to the control group. A trend was recognized indicating that moderate-to-vigorous physical activity decreased on average 8.37 min less per day (95% CI = −16.98 to 0.23, p < 0.06) over time in the intervention group compared to the control group. The initial phase of the intervention does not seem to have affected motivational and volitional determinants of and implicit attitudes toward physical activity.ConclusionPhysical activity counseling may be considered an important factor in the transition from in-patient treatment. Methods to optimize the intervention during this period could be further explored to fulfill the potential of this opportunity.Clinical trial registrationhttps://www.isrctn.com/ISRCTN10469580, identifier ISRCTN10469580.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1045158/fullphysical activity counselingdeterminantsattitudesphysical activityMajor Depressive Disorder
spellingShingle Robyn Cody
Johannes Beck
Serge Brand
Serge Brand
Serge Brand
Serge Brand
Serge Brand
Lars Donath
Oliver Faude
Martin Hatzinger
Christian Imboden
Jan-Niklas Kreppke
Undine E. Lang
Sebastian Ludyga
Sarah Mans
Thorsten Mikoteit
Anja Oswald
Nina Schweinfurth
Lukas Zahner
Markus Gerber
Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trial
Frontiers in Psychiatry
physical activity counseling
determinants
attitudes
physical activity
Major Depressive Disorder
title Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trial
title_full Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trial
title_fullStr Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trial
title_full_unstemmed Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trial
title_short Short-term outcomes of physical activity counseling in in-patients with Major Depressive Disorder: Results from the PACINPAT randomized controlled trial
title_sort short term outcomes of physical activity counseling in in patients with major depressive disorder results from the pacinpat randomized controlled trial
topic physical activity counseling
determinants
attitudes
physical activity
Major Depressive Disorder
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1045158/full
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