ABSTRACT

Participation in regular physical activity has significant physical, psychological, and social benefits, including the prevention and treatment of Type 2 Diabetes (T2D). The primary aim of this paper was to evaluate the impact of theeCoFit physical activity intervention on depression and anxiety symptoms among adults at risk of, or diagnosed with, T2D. The primary outcomes were assessed using Patient Health Questionnaire-9, and Generalised Anxiety Disorder-7. The secondary aim was to test for the potential mediators for the intervention effect on mental health. The 20-week intervention was evaluated using a two-arm randomised controlled trial with await list control group. The intervention included two phases: Phase 1 integrated group face-to-face sessions and the use of the eCoFit smartphone application (app); and Phase 2 that included the use of the app only. Participants (n = 84) were assessed at baseline and 10- and 20-weeks post-baseline. Social support, self-efficacy, nature-relatedness, and perceived sleep quality were examined as potential mechanisms for the intervention effects on mental health. A significant interaction for depression severity was observed at 20-weeks (−1.76, CI −3.48, −05, p= .044, d= −0.35). There were no significant intervention effects for anxiety or any of the potential mechanisms.

摘要

参加定期体育活动具有显着的身体、心理和社会效益，包括预防和治疗 2 型糖尿病 (T2D)。本文的主要目的是评估 eCoFit 身体活动干预对有 T2D 风险或被诊断患有 T2D 的成年人的抑郁和焦虑症状的影响。使用 Patient Health Questionnaire-9 和 Generalized Anxiety Disorder-7 评估主要结局。次要目的是测试干预对心理健康的影响的潜在中介因素。为期 20 周的干预是使用带有等待列表对照组的两臂随机对照试验进行评估的。干预包括两个阶段：第 1 阶段综合小组面对面会议和 eCoFit 智能手机应用程序（应用程序）的使用；第 2 阶段，仅包括使用该应用程序。参与者（n = 84）在基线和基线后 10 周和 20 周进行评估。社会支持、自我效能、自然相关性和感知睡眠质量被视为干预对心理健康影响的潜在机制。在 20 周时观察到抑郁严重程度的显着相互作用（-1.76，CI -3.48，-05，p= .044，d= -0.35）。对焦虑或任何潜在机制没有显着的干预效果。CI -3.48, -05, p= .044, d= -0.35)。对焦虑或任何潜在机制没有显着的干预效果。CI -3.48, -05, p= .044, d= -0.35)。对焦虑或任何潜在机制没有显着的干预效果。