A Feasibility Study of Behavioral Activation for Major Depressive Disorder in a Community Mental Health Setting

Crits‐Christoph, Paul; Goldstein, Elena; King, Clyde L.; Jordan, Michael I.; Thompson, Don; Fisher, Jena; Gibbons, Mary Beth Connolly

doi:10.1016/j.beth.2020.01.008

Cited by 9 publications

(9 citation statements)

References 47 publications

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“…One noteworthy feature of the multi‐domain CMHIs in several studies was the empowerment of PMDD with self‐management skills to spur lifestyle modification in managing their physical health (Crits‐Christoph et al . 2020; Dobkin et al . 2018; Houle et al .…”

Section: Resultsmentioning

confidence: 99%

“…Amongst the studies, self‐management CMHIs were either delivered via workshops (using psychoeducation) and individualized manuals as stand‐alone interventions (with minimal support from healthcare personnel) or incorporated into psychotherapy such as behavioural activation and cognitive behavioural therapy (CBT) (Crits‐Christoph et al . 2020; Houle et al . 2016; Jahoda et al .…”

Section: Resultsmentioning

confidence: 99%

“…Given the breadth of the impacts of the interventions, future studies were urged to expand their focus by encompassing holistic and overall health outcomes (Gibbons et al 2019;Roh et al 2020). Furthermore, time constraints in the included studies meant that long-term impacts of CMHIs could not be ascertained, with the lack of follow-ups or longitudinal investigations on the interventions being reported as a limitation in several studies (Chang et al 2018;Crits-Christoph et al 2017;Crits-Christoph et al 2020;Ekeblad et al 2016;Kanter et al 2015;Nan & Ho 2017).…”

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confidence: 99%

“…Despite their differing components, self-management skills revolved around setting personal recovery goals, self-managing depressive symptoms, self-reviewing lifestyle choices, self-coping with workplace challenges and seeking suitable social support (Houle et al 2016;Jahoda et al 2018;Ly et al 2014). Amongst the studies, self-management CMHIs were either delivered via workshops (using psychoeducation) and individualized manuals as stand-alone interventions (with minimal support from healthcare personnel) or incorporated into psychotherapy such as behavioural activation and cognitive behavioural therapy (CBT) (Crits-Christoph et al 2020;Houle et al 2016;Jahoda et al 2018). Apart from their benefits such as improvements in QoL and reductions in depression scores and in negative thoughts, self-management CMHIs addressed long-term personal and access barriers to mental healthcare services (Dobkin et al 2018;Jahoda et al 2018).…”

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confidence: 99%

“…In several studies, case managers were employed to connect participants with physical comorbidities to other community healthcare partners, ensuring that prompt medical care was sought (Chang et al 2018;de Groot et al 2019;Lerner et al 2020;Nicolaidis et al 2013;Rojas et al 2018). One noteworthy feature of the multi-domain CMHIs in several studies was the empowerment of PMDD with selfmanagement skills to spur lifestyle modification in managing their physical health (Crits-Christoph et al 2020;Dobkin et al 2018;Houle et al 2016;Jahoda et al 2018;Ly et al 2014;Nicolaidis et al 2013). The concept of self-management deviated from the traditional medical model (characterized by constant guidance from a healthcare professional), by shifting the responsibility to the patient (Houle et al 2016).…”

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confidence: 99%

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Community mental health interventions for people with major depressive disorder: A scoping review

Tan

Goh

2022

Int J Mental Health Nurs

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People with major depressive disorder continue to be marred by chronically pernicious yet preventable outcomes in the biopsychosocial aspects. With the reallocation of healthcare resources towards the fight against the coronavirus 2019 pandemic, much emphasis has been placed on existing community mental health interventions to ameliorate the disruption of mental health services. Moreover, the recent propulsion of community mental health services by the World Health Organization Mental Health Action Plan 2013-2030 ignited the need to bolster existing community interventions by providing comprehensive, responsive and integrated mental healthcare. The enhanced emphasis on mental healthcare in the community and the heightened demands of people with major depressive disorder underscores the need to explore the current state of community mental health interventions. This scoping review examined 51 primary studies published from year 2010 to 2020 using Arskey & O 0 Malley's five-stage framework and provided an overview of the impact of existing community mental health interventions for people with major depressive disorder. Findings using thematic analysis have recommended the adoption of person-centred community mental healthcare via the biopsychosocial approach for people with major depressive disorder. Enablers of community mental health interventions were driven by culturally appropriate care and augmented by technology-driven modalities. Challenges and gaps of community mental health interventions include the perpetuation of stigma and misconception, complex demands of persons with major depressive disorder and lack of holistic and long-term outcomes. Given the impact of major depressive disorder on the various biopsychosocial aspects, it is envisioned that our insights into the enablers and barriers of community mental health interventions will guide prospective interdisciplinary and nurse-led interventions in holistically improving the care of persons with major depressive disorder in the community settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Community mental health interventions for people with major depressive disorder: A scoping review

Tan

Goh

2022

Int J Mental Health Nurs

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Initial Development of Pragmatic Behavioral Activation Fidelity Assessments

Gibbons

Fisher²,

Gallop

et al. 2022

Adm Policy Ment Health

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Purpose Our goal was to develop brief pragmatic assessments of Behavioral Activation (BA) fidelity to support its dissemination in low-resource settings. Methods We used qualitative and quantitative methods across three investigations to develop pragmatic assessments rated from the perspective of therapists, patients, and observers: (1) we developed an initial comprehensive pool of 119 items and adapted/refined the item pool to 32 items through stakeholder focus groups and cognitive interviews; (2) independent blind judges rated each of items in the refined item pool on an early session of BA for 64 patients to support the selection of items based on predictive validity; and (3) we conducted a preliminary evaluation of the acceptability and feasibility of the assessments of BA fidelity from the perspective of therapists and patients. Results The internal consistency reliability for the 10-item total score was .83 rated from the perspective of independent observers. The assessment was completed by patients following 90% of sessions and by clinicians following 93% of sessions. Items were rated high on overall satisfaction by both therapists ( M = 4.6, SD = 0.89) and patients ( M = 4.8, SD = 0.41). Conclusion Our findings suggest that these brief assessments of BA fidelity are reliable, feasible, and acceptable to community stakeholders. Supplementary Information The online version contains supplementary material available at 10.1007/s10488-022-01219-w.

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A Systematic Review of Ethnoracial Participation in Randomized Clinical Trials of Behavioral Activation

Segovia

Benuto

2022

Behavior Therapy

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A Feasibility Study of Behavioral Activation for Major Depressive Disorder in a Community Mental Health Setting

Cited by 9 publications

References 47 publications

Community mental health interventions for people with major depressive disorder: A scoping review

Community mental health interventions for people with major depressive disorder: A scoping review

Initial Development of Pragmatic Behavioral Activation Fidelity Assessments

A Systematic Review of Ethnoracial Participation in Randomized Clinical Trials of Behavioral Activation

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