Efficacy of lifestyle medicine on sleep quality: A meta-analysis of randomized controlled trials

Smartphone-delivered multicomponent lifestyle medicine intervention for improving mental health in a nonclinical population: a randomized controlled trial

“…Notably, these effect sizes are generally superior to previous meta-analyses examining the effects of multicomponent LM intervention on improving depressive symptoms ( d = 0.16), anxiety symptoms ( d = 0.14), and insomnia symptoms ( d = 0.32) in diverse populations ( 14 , 16 , 17 ). Overall, our findings suggest that Lifestyle Hub can simultaneously improve CMD symptoms, stress, and perceived insomnia severity, even within a nonclinical sample where perhaps limited room for improvement is anticipated ( 14 , 16 , 17 ). This encouraging evidence provided preliminary support for the proposition that multicomponent LM interventions may serve as a transdiagnostic health management intervention for CMDs ( 17 , 49 , 50 ).…”

“…Overall, our findings suggest that Lifestyle Hub can simultaneously improve CMD symptoms, stress, and perceived insomnia severity, even within a nonclinical sample where perhaps limited room for improvement is anticipated ( 14 , 16 , 17 ). This encouraging evidence provided preliminary support for the proposition that multicomponent LM interventions may serve as a transdiagnostic health management intervention for CMDs ( 17 , 49 , 50 ). However, more studies are needed to draw a definitive conclusion regarding the transdiagnosticity of the LM approach across these disorders ( 17 ).…”

“…Additionally, it is crucial for upcoming causal research to understand the direct impacts of LM on CMDs and the underlying mechanisms of change. Concurrently, identifying the potential moderators and mediators as well as delineating the direct and indirect effects of LM on CMDs are also important ( 17 ). Second, therapy outcome studies that employ the dismantling design are needed to identify active intervention components that drive the observed clinical effects ( 59 ).…”

“…Also, qualitative investigations could be employed to elucidate specific intervention components and features that yield favorable experiences for participants as well as to evaluate intervention satisfaction. Fourth, future research might enroll participants with more severe depressive and anxiety symptomatology to provide more robust evidence for the clinical utility of smartphone-delivered lifestyle medicine interventions ( 14 , 16 , 17 , 21 ). Lastly, while this RCT has provided support for greater dissemination and accessibility of smartphone-delivered lifestyle-based mental health care, it remains unclear how these interventions can be effectively integrated into the current mental health systems and delivered at the population level.…”

“…Furthermore, multicomponent LM interventions have a robust safety profile, with recent clinical guidelines recognizing lifestyle-based interventions as a foundational component for the prevention, treatment, and recovery of CMDs ( 11 , 22–24 ). Although the efficacy of multicomponent LM interventions for improving CMD symptoms in the nonclinical population has been demonstrated, such interventions were predominantly delivered face-to-face by health professionals, which restricted access in larger population groups ( 11 , 14 , 16 , 17 ). Therefore, novel and scalable modes of delivery are required to meet the vast mental health needs of the population.…”