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There is literature to support both the need for and efficacy of brief interventions for depressive symptoms, particularly among college students.Brief behavioral activation interventions (BATD) have gained recognition as efficacious treatments for depression; yet a recent study evidenced a substantial (39%) non-response rate (Kuyken et al., 2017). In accordance with behavioral models of depression, the treatment involves increasing activity and positive experience, to break the negative reinforcement cycle maintaining depressed mood. Thus, strategies that may facilitate increasing activity may improve BATD outcomes. The objective of the current study is to examine whether briefly practicing a target activity during an activity planning session (modified single session of BATD) increases the likelihood of completing the activity during the upcoming week. We hypothesized that guided activity practice may improve self-efficacy within session and activity completion in the upcoming week. We further aim to explore whether activity completion mediates depressive symptom change.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Activity Planning Only | Active Comparator |
| |
| Enhanced Activity Planning | Experimental | Activity planning with therapist guided activity practice. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Activity Planning | Behavioral | The therapist will work with the participant to select a challenging, yet rewarding or value-driven activity that he/she can engage in 5x and monitor daily over the upcoming week. |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Activity Completion Between Conditions | Participants will complete daily surveys for seven days following the initial visit. Participants will answer whether or not the activity was completed that day. Data will be collected using Qualtrics survey software. The outcome variable is the percentage of days the participant completed the activity. | Daily for 7 days |
| Change in Self-Efficacy in Response to Therapist Guided Activity Practice | Following the activity planning portion of the initial visit, participants rate the degree of self-efficacy (confidence in ability to complete the goal) on a scale from 0 (no confidence) to 100 (complete confidence). Participants randomized to Enhanced Activity Practice condition will complete a second rating following the activity practice. The pre-to-post difference score in self-efficacy will be examined as a primary outcome. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Depressive Symptoms | Severity of depressive symptoms will be measured at baseline and 1-week follow-up using the Beck Depression Inventory-II. | Baseline and 1 week follow-up |
| Experiential Avoidance and Psychological Flexibility |
| Measure | Description | Time Frame |
|---|---|---|
| Behavioral Activation | Behavioral Activation will be measured at baseline and 1-week follow-up using the Behavioral Activation for Depression Scale. | Baseline and 1 week follow-up |
| Distress Intolerance |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas at Austin | Austin | Texas | 78712 | United States |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D000554 | Ambulatory Care Facilities |
| ID | Term |
|---|---|
| D006268 | Health Facilities |
| D005159 | Health Care Facilities Workforce and Services |
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| Therapist Guided Activity Practice | Behavioral | The therapist will work with the participant to plan and carry out a brief in-vivo version of their goal/target activity. The therapist will guide the participant through the activity for approximately 15 minutes. |
|
Experiential avoidance and psychological flexibility will be measured at baseline and 1-week follow-up using the Acceptance and Action Questionnaire-II.
| Baseline and 1 week follow-up |
| Multidimensional Experiential Avoidance | Multidimensional experiential avoidance will be measured at baseline and 1-week follow-up using the Multidimensional Experiential Avoidance Questionnaire. | Baseline and 1 week follow-up |
Distress intolerance will be measured at baseline and 1-week follow-up using the Distress Intolerance Index.
| Baseline and 1 week follow-up |
| Anxiety Sensitivity and Distress Intolerance | As an additional measure of distress intolerance, the Anxiety Sensitivity Index will be measured at baseline and 1-week follow-up. | Baseline and 1 week follow-up |
| Anxiety Symptoms | Anxiety symptoms will be measured at baseline and 1-week follow-up using the Beck Anxiety Inventory. | Baseline and 1 week follow-up |