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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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