1. The NEVERMIND e-health system in the treatment of depressive symptoms among patients with severe somatic conditions: A multicentre, pragmatic randomised controlled trial
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Vladimir Carli, Nuhamin Gebrewold Petros, Gergö Hadlaczky, Tereza Vitcheva, Paola Berchialla, Silvia Bianchi, Sara Carletto, Eirini Christinaki, Luca Citi, Sérgio Dinis, Claudio Gentili, Vera Geraldes, Lorena Giovinazzo, Sergio Gonzalez-Martinez, Björn Meyer, Luca Ostacoli, Manuel Ottaviano, Silvia Ouakinin, Tasos Papastylianou, Rita Paradiso, Riccardo Poli, Isabel Rocha, Carmen Settanta, Enzo Pasquale Scilingo, and Gaetano Valenza
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Depression ,Mental health ,e-health ,RCT ,Somatic conditions ,NEVERMIND ,Medicine (General) ,R5-920 - Abstract
Summary: Background: This study assessed the effectiveness of the NEVERMIND e-health system, consisting of a smart shirt and a mobile application with lifestyle behavioural advice, mindfulness-based therapy, and cognitive behavioural therapy, in reducing depressive symptoms among patients diagnosed with severe somatic conditions. Our hypothesis was that the system would significantly decrease the level of depressive symptoms in the intervention group compared to the control group. Methods: This pragmatic, randomised controlled trial included 425 patients diagnosed with myocardial infarction, breast cancer, prostate cancer, kidney failure, or lower limb amputation. Participants were recruited from hospitals in Turin and Pisa (Italy), and Lisbon (Portugal), and were randomly assigned to either the NEVERMIND intervention or to the control group. Clinical interviews and structured questionnaires were administered at baseline, 12 weeks, and 24 weeks. The primary outcome was depressive symptoms at 12 weeks measured by the Beck Depression Inventory II (BDI-II). Intention-to-treat analyses included 425 participants, while the per-protocol analyses included 333 participants. This trial is registered in the German Clinical Trials Register, DRKS00013391. Findings: Patients were recruited between Dec 4, 2017, and Dec 31, 2019, with 213 assigned to the intervention and 212 to the control group. The sample had a mean age of 59·41 years (SD=10·70), with 44·24% women. Those who used the NEVERMIND system had statistically significant lower depressive symptoms at the 12-week follow-up (mean difference=-3·03, p
- Published
- 2022
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