Can eHealth interventions increase physical activity among individuals with depression: A systematic review
Mini-Oral Presentation C2.9
DOI:
https://doi.org/10.14288/hfjc.v14i3.762Keywords:
Physical Activity, Depression, E-HealthAbstract
Background: Depression is one of the most common and debilitating mental disorders and one of the top contributors to the burden of disability in Canada and around the world. Exercise has been recommended as a monotherapy for mild-moderate depression and adjunctive treatment for severe depression. However, access to supervised and structured exercise interventions for depression may not always be available. EHealth interventions may be effective in increasing physical activity among people with depression who cannot, or prefer not to, access supervised exercise treatment. Purpose: The purpose of this systematic review (PROSPERO 2020 CRD42020221713) is to evaluate the impact of eHealth interventions on increasing physical activity among adults with depression. Methods: Systematic literature searches for Randomized Controlled Trials (RCTs) and quasi-experimental studies were performed in nine electronic databases (e.g., Medline, PsycINFO) from inception to November 2020. Results: Four RCTs (440 participants) met the inclusion criteria. Three were web-based and one was app-based. All studies indicated that eHealth interventions are effective in decreasing depressive symptoms compared to waitlist group. Three studies showed medium to large effect sizes. However, we found inconsistent evidence of effectiveness in increasing physical activity behavior. Three studies showed increased physical activity in intervention groups but no significant difference between groups. Dropout rates were relatively low in intervention groups (0% - 21.9%). Conclusions: Physical activity eHealth interventions appear feasible in this population. Tailored eHealth interventions and well controlled studies are needed to assess the effectiveness and feasibility of using eHealth interventions to help people with depression increase physical activity. Funding: Four Year Doctoral Fellowship to Yiling Tang from the University of British Columbia, Canada
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Copyright (c) 2021 Yiling Tang, Jacqueline Lee, Raymond Lam, Sam Liu, Guy Faulkner
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