None listed
Conditions
Brief summary
The most common psychological conditions reported in the literature are depression and anxiety (Albert, 2015; Laborde-Lahoz et al., 2015). Within the mid-to-low income countries, South Africa ranks amongst the highest in lifetime prevalence of Common Mental Disease (CMD), according to the WHO World Mental Health Survey (Stein et al., 2008), and in 2013 was ranked as the second most stressed country in the world (Bloomberg, 2013). Numerous lifestyle interventions have been shown to be effective (as an adjunct or an alternative therapy) for improving the symptoms associated with mental illness (Manger, 2019). Shortcomings of these interventions is that they are typically limited to addressing a select few modalities (nutrition, exercise, substance cessation, sleep and cognitive behavioral therapy), whereas there is evidence that adopting a broader spectrum of lifestyle methods, referred to as a multi-disciplinary approach, may be more effective (Morton et al., 2020). One multi-disciplinary lifestyle intervention that has been shown to improve individuals’ mental health and emotional wellbeing is “The Lift Project” (Morton et al., 2020; Przybylko, Morton, Morton, et al., 2021; Przybylko, Morton, & Renfrew, 2021; Renfrew, Morton, Northcote, et al., 2021). This study will examine the effectiveness of The Lift Project for improving the mental health and emotional wellbeing of clients from a General Practice in South Africa who have a diagnosed affective mood disorder.
Interventions
The intervention for this pilot study involves a 10-week lifestyle education program. Participants will meet once per week for a 45-60 minute group session (maximum of 20 participants) that will be facilitated by a certified physiotherapist. The groups will meet face-to-face, however, there will be provision for the participants to attend via videoconferencing if circumstances prevent them from attending in person. Each session the participants will view a 15-20 minute video presentation that explores a lifestyle behaviour and its potential impact upon mental wellbeing, followed by the opportunity for group discussion. The videos are standard videos that are used in The Lift Project, which is available at www.theliftproject.global. Each session will culminate with the participants being encouraged to engage for the next week in lifestyle “challenges” that align with the topic covered in the session. The topics covered each week, as well as the associated "challenges", are shown below: The program covers the following topics: 1. Speaking positively - offering compliments to others and memorising an inspirational quote/text. 2. Movement - increasing step count or achieving 10,000 steps per day. 3. Immersion in nature - spend 30 minutes each day outside during the daylight hours. 4. Relationships - show care to those who are close. 5. Positive focus (gratitude) - journal "what went well" and perform a gratitude visit. 6. Healthy eating - eat more high-fibre foods (i.e. fruits and vegetables). 7. Sleep - prioritise sleep and reduce screen time at night and caffeine use. 8. Managing stress - practice 10 minutes of daily mindfulness. 9. Service - perform a random act of kindness each day. 10. Discovering meaning and purpose - explore meaningful goals. Attendance at each session will be recorded by the facilitator. The participants will also be provided with a workbook that they will use to document their level of engagement with the weekly challenges. There will be no control or comparison group for this pilot study. All individuals who meet the inclusion criteria and who express an interest in being involved in the study will be accepted until the sample size is achieved. As described in the methods, the participants will complete a pre and post comprehensive questionnaire that will assess their mental health and wellbeing. In addition, in sessions 2 through 8 the participants will complete a concise mental health and wellbeing assessment.
Sponsors
Study design
Eligibility
Inclusion criteria
1. People currently living with a diagnosis of an affective mood disorder (depression and/or anxiety). 2. People currently taking anti-depression and/or anti-anxiety medication.
Exclusion criteria
1. Pregnant or lactating mothers. 2. People scheduled to be taken off their respective anti-depression or anti-anxiety medication during the period of the study.