Testing a Lifestyle Physical Activity Intervention for Women With Depression in Alcohol Treatment
Testing a Lifestyle Physical Activity Intervention for Women With Depression in Alcohol Treatment
The primary aim of this project is to test the efficacy of a technology-supported lifestyle
 physical activity (LPA) intervention for preventing relapse among women with depression
 engaged in alcohol treatment. Participants are randomized to either 1) LPA+Fitbit
 intervention or 2) Fitbit Only control condition. Follow-up assessments and EMA data will be
 collected.
Alcohol use disorder (AUD) is a significant and costly public health problem that affects
 one-third of the U.S. population in their lifetime. Women develop AUD more quickly and suffer
 a broader range of adverse alcohol-related health consequences than men. Physical activity
 (PA) interventions may play an important role as an alternate coping strategy for women with
 AUD and a means to decrease relapse.

 The primary aim of this project is to test the efficacy of a technology-supported lifestyle
 physical activity (LPA) intervention for preventing relapse among women with depression
 engaged in alcohol treatment. A total of 214 women from the Alcohol and Drug Partial
 Hospitalization Program (ADP) at Butler Hospital with AUD and depression will be recruited
 and randomly assign them to either a: 1) LPA+Fitbit intervention or 2) Fitbit Only control
 condition. Follow-up assessments will occur at 6-weeks, end of treatment (EOT) at 3 months,
 and 6, 9 and 12 months. Participants will also complete two, 10-day periods of ecological
 momentary assessment (EMA) during early recovery, at approximately weeks 5 & 6, and again at
 weeks 11 & 12.
Inclusion Criteria:

 -  female

 -  between 18 and 65 years of age

 -  meet DSM-5 criteria for AUD and current Major Depressive Disorder, as assessed by the
 SCID-P

 -  Are sedentary/low active (i.e. less than 150 minutes/week of moderate-intensity
 exercise for the past 6 months)

 -  are currently engaged in alcohol treatment

 -  own a smartphone - to allow for EMA software and Fitbit application

 Exclusion Criteria:

 -  current DSM-5 diagnosis moderate/severe substance use disorder or anorexia or bulimia
 nervosa

 -  a history of psychotic disorder or current psychotic symptoms

 -  current suicidality or homicidality

 -  current mania

 -  marked organic impairment according to either the medical record or responses to the
 diagnostic assessments

 -  physical or medical problems that would not allow safe participation in a program of
 moderate intensity physical activity (i.e., not medically cleared by study physician)

 -  current pregnancy or intent to become pregnant during the next 12 weeks