An implementation evaluation of the physical activity counseling for in-patients with major depressive disorder (PACINPAT) intervention: a randomized controlled trial

BMC Psychiatry

Research Article

Nina Schweinfurth¹  Undine E. Lang¹  Oliver Faude²  Reto Maurer²  Nadine Kügerl²  Lilja-Sophie Rhodius²  Robyn Cody²  Jan-Niklas Kreppke²  Markus Gerber²  Laura Wechsler²  Xenia Fischer²  Serge Brand³  Christian Imboden⁴  Sarah Mans⁴  Anja Oswald⁵  Johannes Beck⁵  Martin Hatzinger⁶  Thorsten Mikoteit⁶ 

[1] Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland;Department for Sport, Exercise and Health, University of Basel, Grosse Allee 6, 4052, Basel, Switzerland;Department for Sport, Exercise and Health, University of Basel, Grosse Allee 6, 4052, Basel, Switzerland;Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland;Sleep Disorders Research Center, Kermanshah University of Medical Sciences, 6719851115, Kermanshah, Iran;Substance Use Prevention Research Center and Sleep Disorder Research Center, Kermanshah, University of Medical Sciences (KUMS), 6715847141, Kermanshah, Iran;School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran;Private Clinic Wyss, Münchenbuchsee, Switzerland;Psychiatric Clinic Sonnenhalde, Riehen, Switzerland;Psychiatric Services Solothurn, Solothurn, Switzerland;

关键词: Intervention implementation;    Process evaluation;    Physical activity counseling;    Depression;   

DOI  :  10.1186/s12888-023-04834-5

 received in 2022-08-08, accepted in 2023-04-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe physical activity counseling for in-patients with major depression (PACINPAT) randomized controlled trial was launched to tackle physical inactivity for in-patients with major depressive disorder. Evidence shows that despite potential treatment effects, physical inactivity is prevalent in this population. To contribute to the assessment of how this in-person and remote, theory-based, individually tailored intervention was designed, received and effected behavior, the aim of this study was to evaluate its implementation.MethodsThis implementation evaluation was conducted within a multi-center randomized controlled trial according to the Process Evaluation Framework by the Medical Research Council including the analysis of reach, dose, fidelity and adaptation. Data were collected from the implementers and the participants randomized to the intervention group of the trial.ResultsThe study sample comprised 95 physically inactive in-patients (mean age: 42 years, 53% women) with diagnosed major depressive disorder. The intervention reached the intended population (N = 95 in-patients enrolled in the study). The intervention dose varied between early dropouts (counseling sessions, M = 1.67) and study completers with some participants receiving a low dose (counseling sessions, M = 10.05) and high dose (counseling sessions, M = 25.37). Differences in the attendance groups were recognizable in the first two counseling sessions (duration of counseling session about 45 min in early dropouts versus 60 min for study completers). Fidelity of the in-person counseling content was partly achieved and adapted, whereas that of the remote counseling content was well achieved. Participants (86% at follow up) reported satisfaction with the implementers of the intervention. Adaptations were made to content, delivery mode and dose.ConclusionThe PACINPAT trial was implemented in the intended population, in varying doses and with adaptations made to in-person counseling content and remote counseling dose. These findings are key to understanding outcome analyses within the PACINPAT trial, further developing interventions and contributing to implementation research among in-patients with depressive disorders.Trial registrationISRCTN, ISRCTN10469580, registered on 3rd September 2018.

【 授权许可】

CC BY   
© The Author(s) 2023

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