The investigators aim to examine whether a motivational multicomponent lifestyle intervention as a supportive treatment for depression has a beneficial effect on recovery from depression in a primary health care setting.
adults ≥ 18 years
depression (ICD-10, F32-F33)
Beck Depression Inventory (BDI-1A) ≥ 10 points
the initiation of treatment in a primary health care center
bipolar disorder
psychosis
substance abuse
pregnancy or lactation
Parallel
Motivational multicomponent lifestyle intervention + Treatment as usual
BehavioralStudy intervention and treatment as usual The study intervention is a multicomponent lifestyle intervention that targets exercise, diet, and stress management, and is conducted by motivational interviewing. The study nurse provides the study intervention. The intervention is conducted by motivational interviewing and includes the key elements of lifestyle interventions identified as effective (assessment of behavior at the baseline, giving information and advising, individualized goal setting, setting an action plan, monitoring a behavioral change, and giving feedback). The intervention consists of individual appointments (2 x 45-60 min) and a telephone session ( 2 x 15 min) for three months. The participants receive a short educational guide (A4) on the lifestyle behavior recommendations.
Treatment as usual
Other interventionTreatment as usual
Change in Beck Depression Inventory (BDI) scores
Depressive symptoms
Change in the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) scores
Mental Wellbeing
Change in 15D scores
Health-Related Quality of Life
Change in Perceived Stress Scale (PSS-10) scores
Stress
Change in Insomnia Severity Index (ISI) scores
Insomnia
Change in Numeric Rating Scale for pain
Pain
Change in Overall Anxiety Severity and Impairment Scale (OASIS) scores
Anxiety
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Kuopio University Hospital
Lead sponsor
University of Eastern Finland
Collaborator
City of Kuopio
Collaborator
University of Oslo
Collaborator
