depression
Conditions
Interventions
The starting point is the CooL intervention recommended by the Dutch Healthcare
Authority. This is complemented by innovations that can be assumed to make this
GLI suitable for patients with depress
d) Increasing health knowledge and skills by adding *hands-on* practical
lessons in buying and cooking healthy food: augmentation of the healthy food
module).
GL-LEEF is personalized based on speci
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Aged 18 years or older - Diagnosis of depressive symptoms or depressive disorder in the past year as registered in the general practice electronic health record and coded according to the International Classification of Primary Care (ICPC) as P03 and P76, respectively, or currently treated for depressive symptoms or depressive disorder in general practice. - At least mild depressive symptom level according to the Quick Inventory Depressive Symptomatology-Self-Report (QIDS-SR) (score >=6) - Body mass index >= 25 kg/m2 or increased waist circumference (>88cm (women) of >102cm (men)).
Exclusion criteria
Exclusion criteria: - Current treatment in mental health care (GGZ in Dutch) - Severe somatic / neurological disease at the discretion of the GP - Currently participating in another lifestyle intervention - Insufficient proficiency in Dutch - Unability to read and write
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Our main study parameter is the feasibility of implementing and researching an MLI for depression in general practice using the following elements of the RE-AIM framework (Reach, Adoption and Implementation): - Reach of our intervention as defined by the absolute number, proportion, and representativeness of individuals who are willing to participate in out of those invited. Reach is considered sufficient if it appears at least 20%. Representativeness will be assessed by comparing demographic variables (age and gender) between those who participate and who do not. GPs will be asked to document reasons for not inviting eligible patients. Reasons of patients to refrain from participation will be documented as well. GPs will be instructed to perform these documentations completely anonymous. - Adoption is assessed as the representativeness and the participation rates (denominator those invited) of general practices, general practitioners, and life style coaches participating in this study. Sufficient adoption is defined as at least 20% participation of GPs. The former is assessed where applicable in terms of practice size, years of experience, and urban or rural location. Qualitative interviews among involved caregivers will be performed to obtain in depth information about barriers and facilitating factors in participating into this study and adopting GLI-LEEF. - Implementation is defined as both adherence and drop-out. Adherence to the lifestyle intervention GLI-LEEF is defined by the number of sessions attended by the participant out of the total of 18 sessions. Adherence to the assessment schedule is defined as the proportion of assessments completed, both at the measurement and the participant level; Drop-out from the GLI-LEEF intervention as defined by the proportion of participants who decide to prematurely stop taking part in the intervention. Sufficient adherence is defined as at least 50% of sessions attended, and at least 50% of ass | — |
Secondary
| Measure | Time frame |
|---|---|
| Our secondary research parameter concerns the variance of the outcome measures of mental health, lifestyle factors, functioning, recovery, well-being, sleep quality, self-esteem, quality of life, health care costs, anthropometry and blood pressure. | — |
Countries
Netherlands
Outcome results
None listed