Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID06404320

Remotely Delivered Physical Activity Program for Treatment-Resistant Depression: A Pilot Randomized Controlled Trial

Led by Unity Health Toronto · Updated on 2025-04-30

30

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

Unity Health Toronto

Lead Sponsor

U

University of Toronto

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying adults with treatment-resistant depression (TRD), a condition where people do not respond to at least two antidepressant medications. This pilot randomized controlled trial aims to evaluate the feasibility and acceptability of a remotely delivered, personalized physical activity (PA) program called MoveU.HappyU, combined with usual treatment, compared to usual treatment alone. The study also monitors the program's impact on depression, anxiety, and quality of life using wearable devices and questionnaires. Participants will be randomly assigned in a 2:1 ratio to either receive a 4-week individualized PA program plus their usual treatment or just their usual treatment. The PA program involves weekly virtual sessions with a trainer including 30 minutes of behavioral coaching and 30 minutes of tailored aerobic or resistance exercise. Participants are also encouraged to do additional exercise independently for 120 minutes weekly at moderate intensity. Those not in the PA group will receive educational material about physical activity recommendations. During the study, participants will complete mental health assessments, wear a device that collects physiological data, and use self-report questionnaires. After the 4-week intervention, there is a 6-week follow-up period to observe lasting effects. The main outcomes measured include the program's feasibility and acceptability over 13 weeks, along with changes in depression and anxiety symptoms and well-being. The total participation time spans approximately 10 weeks from intervention start through follow-up.

CONDITIONS

Brief Title

Physical Activity Program for TRD

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Sedentary adults aged 18 to 65 years inclusive
  • Able to give informed consent
  • Diagnosed with major depressive disorder without psychotic symptoms, currently experiencing a major depressive episode confirmed by a structured interview
  • Montgomery-�c5sberg Depression Rating Scale score of 7 or higher at screening
  • Have failed at least two adequate antidepressant treatments during the current episode
  • Receiving treatment consistent with Canadian guidelines with no changes in the past 28 days
Not Eligible

You will not qualify if you...

  • Current symptoms of mania, hypomania, mixed episodes, or psychosis
  • Diagnosis of alcohol or substance use disorder within the past 3 months
  • Pregnant females
  • Acute cardiovascular risk or event in the past 12 months
  • Medical contraindications to exercise
  • Balance, gait, or locomotion difficulties preventing participation
  • Other conditions affecting study completion as judged by investigators
  • Exercise-induced asthma
  • Taking medications interfering with heart rate response such as beta blockers
  • Do not own a smartphone
  • Lack reliable Internet access
  • Received intravenous ketamine treatment in the last 2 months
  • Non-English speaking individuals due to communication requirements

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or virtual) for eligibility assessment

Treatment

Duration - 4 weeks

Participants in the PA group will engage in a 4-week remotely delivered, one-on-one individualized physical activity program alongside treatment as usual (TAU). This includes weekly virtual sessions with a trainer and independent physical activity. Participants in the TAU group will receive PA guidelines and encouragement to exercise.

Weekly virtual visits for 4 weeks for the PA group; TAU group receives handout and encouragement

Follow-up

Duration - 6 weeks

Participants enter a 6-week observational follow-up period to monitor depressive and anxiety symptoms, quality of life, and physiological data collected via a wearable device.

Assessments and wearable device data collection during follow-up period

Trial Site Locations

Total: 1 location

1

St. Michael's Hospital, Unity Health Toronto

Toronto, Ontario, Canada

Actively Recruiting

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Research Team

V

Venkat Bhat

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Improving adherence to physical activity in treatment-resistant depression: Protocol for a pilot randomized controlled trial of a remotely delivered program.

Vanessa K Tassone, Danika A Quesnel, Karisa Parkington...

https://pubmed.ncbi.nlm.nih.gov/40892783