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Engagement with Activity Monitoring During a Behavioral Activation Intervention: A Randomized Test of Monitoring Format and Qualitative Evaluation of Participant Experiences

Published online by Cambridge University Press:  16 June 2022

Tera L. Fazzino Open the ORCID record for Tera L. Fazzino [Opens in a new window] ,
Adrianne Kunkel ,
Joseph Bellitti ,
Rebecca Swinburne Romine ,
Richard Yi ,
Courtney McDaniel  and
Carl W. Lejuez
Tera L. Fazzino*
Affiliation:
Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, Kansas, USA Department of Psychology, University of Kansas, Lawrence, Kansas, USA
Adrianne Kunkel
Affiliation:
Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, Kansas, USA Department of Communication Studies, University of Kansas, Lawrence, Kansas, USA
Joseph Bellitti
Affiliation:
Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, Kansas, USA Department of Psychology, University of Kansas, Lawrence, Kansas, USA
Rebecca Swinburne Romine
Affiliation:
Life Span Institute, University of Kansas, Lawrence, Kansas, USA
Richard Yi
Affiliation:
Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, Kansas, USA Department of Psychology, University of Kansas, Lawrence, Kansas, USA
Courtney McDaniel
Affiliation:
Department of Communication Studies, University of Kansas, Lawrence, Kansas, USA
Carl W. Lejuez
Affiliation:
Office of the Provost and Department of Psychological Sciences, University of Connecticut, Storrs, Connecticut, USA
*
*Corresponding author: Tera Fazzino, 1415 Jayhawk Blvd, 4th Floor, Lawrence, KS 66045, USA. Email: tfazzino@ku.edu
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Abstract

Behavioural activation (BA) is an efficacious treatment approach. Activity monitoring is a key component of brief BA treatments; however, no studies have examined the most efficacious format for monitoring. The present pilot study tested brief versus intensive activity monitoring approaches during a BA intervention administered in a college orientation course. Outcomes characterised (1) engagement with the treatment protocol via activity monitoring and (2) participant qualitative experiences with monitoring and the intervention as reported during focus group interviews. Four course sections were randomly assigned to receive monitoring forms that were brief (assessed activities three times daily) or intensive (assessed activities hourly). Forms were provided electronically to students via a web-based platform which tracked completion. There were no significant differences in monitoring frequency (38.0 vs. 23.0 days; p = .154) or the duration of monitoring engagement (62.0 vs. 36.0 days; p = .054) between the brief and intensive conditions. Qualitative findings suggested that participants in both conditions found utility in activity monitoring, particularly during the first month as they transitioned to college. Overall, findings indicated that participants may find utility in monitoring during the first month of a BA intervention using either brief or intensive monitoring forms.

Clinical Trials Registration Number: NCT04038190

Keywords

mental healthtreatmentassessmentcollegefreshman
Type
Standard Paper
Information
Behaviour Change , Volume 40 , Issue 2 , June 2023 , pp. 103 - 116
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

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References

Bhattacharya, K (2017). Data analysis, interpretation, and re-presentation. In Bhattacharya, K (ed.), Fundamentals of qualitative research (pp. 149–169). New York: Routledge.CrossRefGoogle Scholar
Busch, AM, Uebelacker, LA, Kalibatseva, Z and Miller, IW (2010). Measuring homework completion in behavioral activation. Behavior Modification, 34, 310–329. doi:10.1177/0145445510373384.CrossRefGoogle ScholarPubMed
Callan, JA, Kazantzis, N, Park, SY, Moore, CG, Thase, ME, Minhajuddin, A, …,Siegle, GJ (2019). A propensity score analysis of homework adherence-outcome relations in cognitive behavioral therapy for depression. Behavior Therapy, 50, 285–299. doi:10.1016/j.beth.2018.05.010.CrossRefGoogle ScholarPubMed
Charmaz, K (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.Google Scholar
Choi, NG, Caamano, J, Vences, K, Marti, CN and Kunik, ME (2020). Acceptability and effects of tele-delivered behavioral activation for depression in low-income homebound older adults: in their own words. Aging & Mental Health, 1–8. doi:10.1080/13607863.2020.1783516.Google ScholarPubMed
Collado, A, Castillo, SD, Maero, F, Lejuez, CW and MacPherson, L (2014). Pilot of the brief behavioral activation treatment for depression in latinos with limited English proficiency: Preliminary evaluation of efficacy and acceptability. Behavior Therapy, 45, 102–115. doi:10.1016/j.beth.2013.10.001.CrossRefGoogle ScholarPubMed
Crits-Christoph, P, Goldstein, E, King, C, Jordan, M, Thompson, D, Fisher, J and Gibbons, MBC (2021). A feasibility study of behavioral activation for major depressive disorder in a community mental health setting. Behavior Therapy, 52, 39–52. doi:10.1016/j.beth.2020.01.008.CrossRefGoogle Scholar
Ekers, D, Webster, L, Straten, AV, Cuijpers, P, Richards, D and Gilbody, S (2014). Behavioural activation for depression; An update of meta-analysis of effectiveness and sub group analysis. PLoS One, 9, e100100. doi:10.1371/journal.pone.0100100.CrossRefGoogle ScholarPubMed
Fazzino, TL, Bjorlie, K and Lejuez, CW (2019). A systematic review of reinforcement-based interventions for substance use: Efficacy, mechanisms of action, and moderators of treatment effects. Journal of Substance Abuse Treatment, 104, 83–96. doi:10.1016/j.jsat.2019.06.016.CrossRefGoogle ScholarPubMed
Ferster, CB (1973). A functional analysis of depression. The American Psychologist, 28, 857–870. doi:10.1037/h0035605.CrossRefGoogle Scholar
Folke, F, Hursti, T, Tungström, S, Söderberg, P, Ekselius, L and Kanter, JW (2015). Behavioral activation between acute inpatient and outpatient psychiatry: Description of a protocol and a pilot feasibility study. Cognitive and Behavioral Practice, 22, 468–480. doi:10.1016/j.cbpra.2014.03.006.CrossRefGoogle Scholar
Funderburk, JS, Pigeon, WR, Shepardson, RL and Maisto, SA (2020). Brief behavioral activation intervention for depressive symptoms: Patient satisfaction, acceptability, engagement, and treatment response. Psychological Services, 17, 443–451. doi:10.1037/ser0000328.CrossRefGoogle ScholarPubMed
Glenn, D, Golinelli, D, Rose, RD, Roy-Byrne, P, Stein, MB, Sullivan, G, …,Craske, MG (2013). Who gets the most out of cognitive behavioral therapy for anxiety disorders? The role of treatment dose and patient engagement. Journal of Consulting and Clinical Psychology, 81, 639–649. doi:10.1037/a0033403.CrossRefGoogle ScholarPubMed
Kazantzis, N, Whittington, C and Dattilio, F (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology: Science and Practice, 17, 144–156. doi:10.1111/j.1468-2850.2010.01204.x.Google Scholar
Kazantzis, N, Whittington, C, Zelencich, L, Kyrios, M, Norton, PJ and Hofmann, SG (2016). Quantity and quality of homework compliance: A meta-analysis of relations with outcome in cognitive behavior therapy. Behavior Therapy, 47, 755–772. doi:10.1016/j.beth.2016.05.002.CrossRefGoogle ScholarPubMed
Lejuez, CW, Hopko, DR, Acierno, R, Daughters, SB and Pagoto, SL (2011). Ten year revision of the brief behavioral activation treatment for depression: Revised treatment manual. Behavior Modification, 35, 111–161. http://dx.doi.org.www2.lib.ku.edu/10.1177/0145445510390929.CrossRefGoogle ScholarPubMed
Lewinsohn, P (1974). A behavioral approach to depression. In Friedman, R and Katz, M (eds), The psychology of depression: Contemporary theory and research. Dallas: Wiley.Google Scholar
Lindlof, T and Taylor, B (2017). Qualitative communication research methods. Los Angeles: Sage. Retrieved from: https://us.sagepub.com/en-us/nam/qualitative-communication-research-methods/book239370.Google Scholar
MacPherson, L, Collado, A, Ninnemann, A and Hoffman, E (2017). Development of a behavioral activation-based intervention for cigarette-smoking young adults. Cognitive and Behavioral Practice, 24, 101–114. doi:10.1016/j.cbpra.2016.03.004.CrossRefGoogle Scholar
Manning, J and Kunkel, A (2014). Researching interpersonal relationships: Qualitative methods, studies, and analysis. Thousand Oaks: Sage Publications, Inc.CrossRefGoogle Scholar
Miles, M and Huberman, A (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks: Sage Publications, Inc.Google Scholar
Murphy, JG, Correia, CJ and Barnett, NP (2007). Behavioral economic approaches to reduce college student drinking. Addictive Behaviors, 32, 2573–2585. doi:10.1016/j.addbeh.2007.05.015.CrossRefGoogle ScholarPubMed
O'Neill, L, Samaan, Z, McCabe, K, Tabak, TA, Key, B, Litke, K,…,Vanstone, M (2019). Patient experiences and opinions of a behavioral activation group intervention for depression. Research on Social Work Practice, 29, 10–18. doi:10.1177/1049731517749942.CrossRefGoogle Scholar
Ramnerö, J, Folke, F and Kanter, JW (2016). A learning theory account of depression. Scandinavian Journal of Psychology, 57, 73–82. doi:10.1111/sjop.12233.CrossRefGoogle ScholarPubMed
Ryba, MM, Lejuez, CW and Hopko, DR (2014). Behavioral activation for depressed breast cancer patients: The impact of therapeutic compliance and quantity of activities completed on symptom reduction. Journal of Consulting and Clinical Psychology, 82, 325–335. doi:10.1037/a0035363.CrossRefGoogle Scholar
Spielmans, GI and Flückiger, C (2018). Moderators in psychotherapy meta-analysis. Psychotherapy Research, 28, 333–346. doi:10.1080/10503307.2017.1422214.CrossRefGoogle ScholarPubMed
Thornberg, R and Charmaz, K (2012). Grounded theory. In Lapan, S Quartaroli, M and Riemer, F (eds), Qualitative research: An introduction to methods and designs (pp. 41–68). Thousand Oaks: Wiley.Google Scholar
Tracy, S (2013). Qualitative research methods: Collecting evidence, crafting analysis, communicating impact. West Sussex: Wiley-Blackwell.Google Scholar
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