互联网引导的自助干预对促进抑郁症患者身体活动的有效性：系统评价
The Effectiveness of Internet-Guided Self-help Interventions to Promote Physical Activity Among Individuals With Depression: Systematic Review.
作者信息
Tang Yiling, Gierc Madelaine, Lam Raymond W, Liu Sam, Faulkner Guy
机构信息
School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
出版信息
JMIR Ment Health. 2022 Dec 12;9(12):e38049. doi: 10.2196/38049.
BACKGROUND
Depression is a prevalent and debilitating mental disorder and a leading cause of disability worldwide. Physical activity (PA) interventions have been shown to alleviate depressive symptoms. However, not all patients have access to PA programing tailored for depression. Internet-guided self-help (IGSH) interventions may be an effective option for increasing PA among people with depression who cannot or prefer not to access supervised exercise treatment.
OBJECTIVE
We aimed to evaluate the effectiveness of IGSH interventions in increasing PA and alleviating depressive symptoms in people with depression.
METHODS
A systematic literature search was conducted for randomized controlled trials and quasiexperimental studies using 9 electronic databases. The review was registered in PROSPERO (2020 CRD42020221713).
RESULTS
A total of 4 randomized controlled trials (430 participants) met the inclusion criteria. Of these, 3 were web-based and 1 was app-based. Three studies found IGSH interventions to have medium to large effects on decreasing depressive symptoms but not on increasing PA compared with waitlist or usual care. One study showed increased self-reported PA but no significant difference in depressive symptoms in the intervention group compared with the control group. Goal setting was the most common behavior change technique used in the interventions. Dropout rates within the intervention groups were relatively low (0%-19%).
CONCLUSIONS
Our findings suggested that IGSH PA interventions are feasible and have the potential to reduce depressive symptoms in people with depression. More well-designed and tailored interventions with different combinations of behavior change techniques, particularly those targeting the emotion domain, are needed to assess the overall effectiveness and feasibility of using IGSH interventions to increase PA among people with depression.
TRIAL REGISTRATION
PROSPERO CRD42020221713; https://tinyurl.com/ysaua5bu.
背景
抑郁症是一种普遍且使人衰弱的精神障碍，是全球残疾的主要原因。体育活动（PA）干预已被证明可减轻抑郁症状。然而，并非所有患者都能获得针对抑郁症量身定制的体育活动方案。互联网引导的自助（IGSH）干预可能是增加无法或不愿接受监督运动治疗的抑郁症患者体育活动的有效选择。
目的
我们旨在评估IGSH干预对增加抑郁症患者体育活动和减轻抑郁症状的有效性。
方法
使用9个电子数据库对随机对照试验和准实验研究进行系统文献检索。该综述已在PROSPERO（2020 CRD42020221713）中注册。
结果
共有4项随机对照试验（430名参与者）符合纳入标准。其中，3项基于网络，1项基于应用程序。三项研究发现，与等待名单或常规护理相比，IGSH干预对减轻抑郁症状有中度至较大影响，但对增加体育活动没有影响。一项研究表明，干预组自我报告的体育活动增加，但与对照组相比，抑郁症状没有显著差异。目标设定是干预中最常用的行为改变技术。干预组的退出率相对较低（0%-19%）。
结论
我们的研究结果表明，IGSH体育活动干预是可行的，有可能减轻抑郁症患者的抑郁症状。需要更多设计良好且量身定制的干预措施，采用不同的行为改变技术组合，特别是针对情感领域的技术，以评估使用IGSH干预增加抑郁症患者体育活动的整体有效性和可行性。
试验注册
PROSPERO CRD42020221713；https://tinyurl.com/ysaua5bu 。
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