Internet-Based Psycho-Physical Exercise Intervention Program in Mild-to-Moderate Depression: The Study Protocol of the SONRIE Randomized Controlled Trial

Int J Environ Res Public Health. 2025 Apr 1;22(4):540. doi: 10.3390/ijerph22040540.

Abstract

The COVID-19 pandemic has intensified depression due to isolation and reduced physical activity, highlighting the need for accessible remote treatments. The SONRIE study evaluates the effectiveness of a 12-week online intervention combining physical exercise and internet-based cognitive-behavioral therapy on depressive symptoms in adults with mild-to-moderate depression. This randomized controlled trial involved 80 adults aged 25-65 years diagnosed with depression according to the ICD-10 criteria. Participants were randomized to an experimental group receiving the combined online intervention or to a control group receiving standard care. The primary outcome was the change in depression severity, assessed by the Beck Depression Inventory, with outcomes measured at baseline, immediately post-intervention, and after an 8-week follow-up phase. Statistical analyses include analysis of covariance to compare group changes over time, with effect sizes quantifying the intervention's impact. The SONRIE study demonstrates a promising online approach for treating depression, with potential implications for clinical practice and public health strategies.

Keywords: depression; endocannabinoid system; internet-based cognitive–behavioral therapy; mental health; physical exercise; randomized controlled trial.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Adult
  • Aged
  • COVID-19* / psychology
  • Cognitive Behavioral Therapy* / methods
  • Depression* / therapy
  • Exercise Therapy* / methods
  • Exercise*
  • Female
  • Humans
  • Internet
  • Internet-Based Intervention*
  • Male
  • Middle Aged
  • Randomized Controlled Trials as Topic
  • SARS-CoV-2