Enhancing group lifestyle intervention for depression with ecological momentary assessment: a pilot randomized controlled trial.

Primary outcome At Week 7, LM/S did not demonstrate significant improvement compared to CAU in depressive symptoms (adjusted mean difference = − 1.21, p =.80, d = 0.24), while the PLM showed a marginally significant reduction relative to CAU (adjusted mean difference = − 3.96, p =.05, d = 0.78).

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Regarding secondary outcomes, the LM/S only showed a trend of significantly large improvements in environmental health-related QoL than the CAU at Week 7, whereas PLM demonstrated moderate to large improvements in insomnia symptoms, physical health-related QoL, overall lifestyle, nutrition, and stress management.

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