The primary aim of this project is to test the efficacy of a technology-supported lifestyle physical activity (LPA) intervention for preventing relapse among women with depression engaged in alcohol treatment. Participants are randomized to either 1) LPA+Fitbit intervention or 2) Fitbit Only control condition. Follow-up assessments and EMA data will be collected.
Alcohol use disorder (AUD) is a significant and costly public health problem that affects one-third of the U.S. population in their lifetime. Women develop AUD more quickly and suffer a broader range of adverse alcohol-related health consequences than men. Physical activity (PA) interventions may play an important role as an alternate coping strategy for women with AUD and a means to decrease relapse. The primary aim of this project is to test the efficacy of a technology-supported lifestyle physical activity (LPA) intervention for preventing relapse among women with depression engaged in alcohol treatment. A total of 214 women from the Alcohol and Drug Partial Hospitalization Program (ADP) at Butler Hospital with AUD and depression will be recruited and randomly assign them to either a: 1) LPA+Fitbit intervention or 2) Fitbit Only control condition. Follow-up assessments will occur at 6-weeks, end of treatment (EOT) at 3 months, and 6, 9 and 12 months. Participants will also complete 3, 10-day periods of ecological momentary assessment (EMA) during early recovery, at approximately weeks 1 \& 2, 5 \& 6, and again at weeks 11 \& 12.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
214
This intervention has 3 components: (1) an orientation session to LPA and using the Fitbit; (2) Six telephone physical activity counseling sessions; and (3) monitoring activity with the Fitbit, which is provided to them during their study participation.
Participants are provided with a Fitbit during their study participation.
Butler Hospital
Providence, Rhode Island, United States
RECRUITINGPercent of sample that is abstinent from alcohol
Timeline Follow-back Interview will be used to determined whether participants drank any alcohol during the time frame assessed.
Time frame: 12 months
Alcohol-Related Consequences
The Short Inventory of Problems will be used to measure the experience of alcohol-related consequences during the study period.
Time frame: 12 months
Depressive symptoms
Symptoms of depression, as measured by the Patient Health Questionnaire-9
Time frame: 12 months
Physical Activity levels
Objectively measured steps/day with a Fitbit
Time frame: 12 months
Alcohol Abstinence Self-Efficacy
Alcohol abstinence self-efficacy, as measured by Alcohol Abstinence Self-Efficacy Scale
Time frame: 12 months
Cardiorespiratory Fitness (estimated peak VO2)
Estimated VO2 max will be determined by the 6-minute Cycle Ergometer Exercise test
Time frame: 12 months
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