Smartphone-delivered multicomponent lifestyle medicine intervention for depressive symptoms: A randomized controlled trial.

Abstract

Objective: To evaluate the efficacy and credibility of a smartphone-delivered multicomponent lifestyle medicine (LM) intervention, Lifestyle Hub, as a primary modality for managing depressive symptoms in an adult Chinese population. Method: Participants with at least a moderate level of depressive symptoms (n = 79), as indicated by a Patient Health Questionnaire-9 score of ≥10, were randomly assigned to an LM intervention group (LMG; n = 39; eight weekly sessions) or a waitlist control group (WLG; n = 40). Results:The intention-to-treat analysis revealed significant improvements in depressive symptoms (d = 0.66), generalized anxiety symptoms (d = 0.93), insomnia symptoms (d = 0.20), functional impairment (d = 0.22), and health-related quality of life (HRQoL; d = 0.11) from Week 0 (baseline) to Week 9 (immediate postintervention assessment) in the LMG relative to the WLG. Moreover, significantly more health-promoting behaviors (overall health behaviors, health responsibility, physical activity level, nutrition, spiritual growth, and stress management) (d = 0.40-0.89) and higher levels of total activity (d = 0.55) and walking activity (d = 0.55) were found at Week 9 in the LMG relative to the WLG. However, no significant differences were observed in interpersonal relationships, vigorous and moderate exercise levels, sedentary behavior levels, or food frequency questionnaire measures at Week 9 between the LMG and the WLG. From Week 9 to Week 13 (1-month follow-up assessment), a significant within-group reduction in HRQoL (d = 0.50) and an increase in alcohol intake (d = 0.41) were observed in the LMG. Conclusions: The smartphone-delivered multicomponent LM intervention Lifestyle Hub may serve as a primary modality for managing depressive symptoms.What is the public health significance of this article? This is the first study to demonstrate the efficacy and credibility of a smartphone-based multicomponent LM intervention as a primary modality for managing depressive symptoms. The LM approach, which addresses service users' needs and preferences, could be a viable approach to facilitate the management of depressive symptoms.

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

“…Given the potential merit of smartphone-delivered interventions in managing CMDs, a pioneering smartphone-delivered LM intervention, Lifestyle Hub, was developed ( 21 ). The efficacy of Lifestyle Hub in ameliorating depressive symptoms has previously been evaluated in a Chinese adult population with at least moderate levels of depressive symptoms ( 21 ).…”

“…Given the potential merit of smartphone-delivered interventions in managing CMDs, a pioneering smartphone-delivered LM intervention, Lifestyle Hub, was developed ( 21 ). The efficacy of Lifestyle Hub in ameliorating depressive symptoms has previously been evaluated in a Chinese adult population with at least moderate levels of depressive symptoms ( 21 ). The results suggested that Lifestyle Hub was efficacious in improving depressive and anxiety symptoms with moderate to large effect sizes compared to a waitlist (WL) control group at immediate post-intervention assessment ( d = 0.66–0.93).…”

A group-based transdiagnostic sleep and circadian treatment for major depressive disorder: A randomized controlled trial.

“…The Short Form (Six-Dimension) Health Survey (SF-6D; Lam et al, 2008) was used to measure quality of life, including physical functioning, role limitation, social functioning, bodily pain, mental health, and vitality. The SF-6D showed good reliability (Cronbach's α = .80; V. W. H. Wong et al, 2021).…”

App-Based Interventions for Moderate to Severe Depression

“…After removing 807 duplicates, 1321 studies were screened using titles and abstracts, and 115 studies were identified for full-text screening. With the exclusion of 102 irrelevant studies, 13 studies 29,[31][32][33][38][39][40][41][42][43][44][45][46] evaluating 16 intervention apps were included in the analysis (Figure 1).…”

“…Of 13 included studies, 6 studies 29,32,[39][40][41]44 had a high ROB and 7 studies 31,33,38,42,43,45,46 demonstrated some concerns of ROB (eFigure 1 and eFigure 2 in Supplement 1). Major sources of bias were the use of self-report questionnaires for outcome measures and the complications of using the double-blind trials.…”