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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
52
Participants in the Step Up Wellness 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 receive referral usual care treatment for depression and smoking cessation, plus self-help physical activity intervention.
Group Health Research Institute
Seattle, Washington, United States
Depression Score
% with significant change (50% reduction in SCL \[Symptom Checklist\] depression score)
Time frame: 6 months
Abstinent From Smoking
self-reported 7 day point prevalent abstinence with non-responders coded as smokers
Time frame: 6 months
Days Walk Per Week
Mean change in days walk per week from baseline
Time frame: 6 months
Minutes Per Week of Moderate Physical Activity
Mean change from baseline as assessed using International Physical Activity Questionnaire (IPAQ)
Time frame: 6 months
Minutes Per Week of Vigorous Physical Activity
Mean change from baseline assessed using IPAQ physical activity scale
Time frame: 6 months
Number of Cigarettes Smoked Per Day
Mean change in cigarettes smoked per day from baseline
Time frame: 4 months
Quit Attempt
% who made a quit attempt, defined as intentionally not smoking for at least 24 hours
Time frame: 6 months
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