Bridging the Gap: Implementing BRIDGES

Официальное название

Bridging the Gap: Implementing BRIDGES (Brussels Resilience and Inclusion for Depression - Guidance, Exercise and Support) to Shape Adolescent Outpatient Mental Health Care. A Randomized Control Study Protocol

Обзор

Together with teenagers, we have developed a new approach: BRIDGES, which stands for "In Brussels, Resilience and Inclusion for Depression through Guidance, Exercise, and Support." BRIDGES aims to help young people with depression get moving again in their daily lives, at their own pace and in ways that are good for them.

Подробное описание

Even though physical activity is recognized for its mental and physical health benefits, we find that adolescents going through a difficult psychological period often engage in very little of it. Current physical activity offerings do not always take into account their specific needs, preferences, or daily realities. That is why we have co-created a new approach with adolescents: BRIDGES, which stands for "In Brussels, Resilience and Inclusion for Depression through Guidance, Exercise, and Support." This project includes 18 30-minute sessions over 3 months with a physical therapist specializing in mental health, including individual follow-ups with advice and discussions, as well as putting you in touch with sports clubs or associations of your choice. The goal is to help you get moving again in your daily life, at your own pace and in a way that makes you feel good.

This study has a waiting list control group, so young people can either participate immediately or wait 6 months to participate.

Вмешательства

• Поведенческое The BRIDGES (In Brussels, Resilience and Inclusion for Depression through Guidance, Exercise and Support) intervention
  Described above

Первичные конечные точки

• Depressive symptoms [Срок оценки: Throughout the entire study, during approximately 15 months]
• Physical activity levels [Срок оценки: Throughout the entire study, during approximately 15 months]

Вторичные конечные точки (9)

• Depressive symptoms (larger evaluation) [Срок оценки: Throughout the entire study, during approximately 15 months]
• Multidimensional Scale of Perceived Social Support (MSPSS) [Срок оценки: Throughout the entire study, during approximately 15 months]
• Adapted Exercise self-efficacy (SEE) [Срок оценки: Throughout the entire study, during approximately 15 months]
• Astrand Rhyming test (ART) [Срок оценки: Throughout the entire study, during approximately 15 months]
• Waist-to-height ratio (WHtR) [Срок оценки: Throughout the entire study, during approximately 15 months]
• Motivational interviewing fidelity [Срок оценки: Throughout the entire study, during approximately 15 months]
• Client Perception of Motivational Interviewing [Срок оценки: Throughout the entire study, during approximately 15 months]
• The Health Care Climate Questionnaire [Срок оценки: Throughout the entire study, during approximately 15 months]
• Logbook [Срок оценки: Throughout the entire study, during approximately 15 months]

Критерии участия

Критерии включения

• All adolescents aged 12 to 19 with a diagnosis of depression who are receiving outpatient care through AREA+
• voluntary participation and accepting the randomisation
• being admitted at AREA+
• being able to stay focused for 30 minutes
• having a good knowledge of French
• physically inactive defined as not meeting the PA guidelines from World Health Organisation (28) following the corresponding age (i.e. at least 420 min of moderate to vigorous physical activity (MVPA) /week for those aged 12-17 and at least 150 min of MVPA /week for those aged 18 and 19 years
• living in Brussels

Критерии исключения

• intellectual disability (defined as an intelligence quotient < 70)
• participants with serious medical problems or medical precautions prohibiting higher-intensity exercise (e.g., severe metabolic disorders, oncologic disease, unstable diabetes) according to the recommendations of the American College of Sports Medicine.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Бельгия · 1 центр

• AREA+, Epsylon — Brussels

Публикации

• Philippot, A., Coppens, M., Van Damme, T., Sluys, C., Francaux, M., Dubois, V., & Vancampfort, D. (2026). Combining the behavior change wheel framework with a co-design approach to develop an outpatient physical activity intervention for adolescents with depression: A blueprint. Manuscript accepted for publication.
• Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. Guilford press.
• Philippot A, Dubois V, Lambrechts K, Grogna D, Robert A, Jonckheer U, Chakib W, Beine A, Bleyenheuft Y, De Volder AG. Impact of physical exercise on depression and anxiety in adolescent inpatients: A randomized controlled trial. J Affect Disord. 2022 Mar 15;301:145-153. doi: 10.1016/j.jad.2022.01.011. Epub 2022 Jan 7. PMID 35007642

Идентификаторы

NCT: NCT07422909 · CCEMHA · JRDIC-2 a-b-c

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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