Effectiveness of The Step Up Wellness Program for People With Depression

Kaiser Permanente

Status: Completed

Conditions: Depression

Treatments: Behavioral: Usual care; Behavioral: Step Up Wellness Program

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00644995

R34MH080658 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This randomized pilot study will evaluate the feasibility and acceptability of a phone-based wellness program for improving mood, physical activity, and smoking abstinence rates among people with depression who also are physically inactive and smoke cigarettes.

Full description

This pilot study will evaluate the feasibility, acceptability, and potential effectiveness of the Step Up Wellness Program among people with depression who also are physically inactive and smoke cigarettes.

Participation in this study will last 6 months. All participants will complete a baseline survey and then be assigned randomly to receive the Step Up Wellness Program or usual care for 3 months. Participants in the Step Up program will receive weekly phone calls from a study health coach. During these calls, the coach will discuss ways to improve and manage mood, increase physical activity, and prepare to quit smoking. Participants will also be given materials to review and homework assignments between calls. Participants in the usual care group will receive standard care which includes referrals for treatment of depression and nicotine dependence, as well as self-help information on physical activity. All participants will be surveyed at 4 and 6 months post-enrollment. Participants will also provide qualitative feedback on the program.

Enrollment: 52 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Member of Group Health insurance plan
• Aged 18 to 75
• Experiencing at least moderate depressive symptoms
• Low physical activity defined as failure to meet Centers for Disease Control (CDC) guidelines for weekly activity OR low to moderate physical activity as assessed by International Physical Activity Questionnaire (IPAQ)
• Current smoker
• Has a phone
• Able to read and speak in English
• No mobility or physical impairments that would prevent engaging in moderate physical activity
• Without a hearing impairment that would prevent participation with the phone-based counseling or assessments

Exclusion criteria

• Self-report of bipolar disorder or schizophrenia
• Currently receiving specialty mental health care or smoking cessation treatment
• If on an antidepressant, has been taking it less than 30 days

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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52 participants in 2 patient groups

Usual Care Control

Active Comparator group

Description:

Participants will receive usual care which includes advice to stop smoking and referral to standard care treatment available through participants' health insurance and health plan.

Treatment:

Behavioral: Usual care

Step Up Intervention

Experimental group

Description:

Participants will receive the Step Up Wellness Program. The intervention is detailed below.

Treatment:

Behavioral: Step Up Wellness Program