Jump Step - A Participatory Approach to Physical Activity & Mental Wellness

Summary

The WHO, the Pan American Health Organization, the EU Council of Ministers, the World Federation of Mental Health, and the UK Royal College of Psychiatrists all agree -"there can be no health without mental health". Within Canada, 6.7M people live with a mental illness and when family and caregivers are included almost everyone is affected.

A systematic review (2014) concluded that physical activity has a significant potential for reducing depressive symptoms in people with a mental illness. Globally, physical inactivity is "pandemic". Current guidelines recommend a minimum of only a 150 minutes a week of moderately vigorous exercise but 85% of Canadians do not meet the national recommendations. How then can people with depression be motivated to become physically more active?

Group Medical Visits (GMVs) can be used to provide health services and they have proven effective in some settings, including mood disorders. As well as providing economic and resource efficiencies, the GMV model has the potential to add a 'support group/accountability' element for behavioural interventions such as physical activity promotion; such influence is not present in an individual patient-physician consultation.

"Jump Step" is a 14-week program within a GMV setting designed to motivate and support people with depression to engage in regular physical activity. The investigators seek to design, implement, and evaluate the effectiveness of the Group Medical Visits focused on promoting physical activity for patients with depression.

Conditions

• Major Depressive Disorder
• Bipolar, Depression

Interventions

BEHAVIORAL

Group Medical Visits

Cohorts will participate in a weekly series of 14 Group Medical Visits (GMVs) co-led by a psychiatrist and an exercise professional. Each two-hour Group Medical Visit will be divided into three sections: * Group check in/out; enter patients weekly step count into database; review and outline the day's group program - 20 minutes * Group discussion, regarding selected physical activity topics including psychiatric issues - 50 minutes * Physical activity component - 50 minutes The 'content' or curriculum of the GMVs will support participant Self-Management/Activation. Research has consistently emphasized the role of positive feedback, social support, reinforcement, goal setting, and motivation for improving person's self-perception to uptake physical activity.

Sponsors & Collaborators

• Vancouver Foundation

  collaborator OTHER

• Mood Disorders Association of BC

  collaborator UNKNOWN

• YMCA

  collaborator OTHER

• University of British Columbia

  lead OTHER

Principal Investigators

• Joanie Sims-Gould, PhD · University of British Columbia

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2015-08-31

Primary Completion

2016-01-31

Completion

2017-06-30

Countries

• Canada

Study Locations