Moodivate

Abstract

Depressive symptoms are highly prevalent and are associated with considerable functional impairment, significant public health costs, and heightened mortality risk. Individuals experiencing impairment due to depressive symptomatology are most likely to report their symptoms to a primary care provider. As such, national guidelines highlight the need to assess and effectively treat depression via primary care. Despite these guidelines, the dissemination of evidence-based psychotherapy via primary care is limited, likely due to both provider- and patient-level treatment barriers. Mobile health (mHealth) technologies are promising for addressing these barriers and for promoting uptake of evidence-based depression treatment. Among evidence-based psychotherapies for depression, brief Behavioral Activation Treatment for Depression (BATD) has shown great promise and is particularly amenable to mHealth delivery. Herein, we discuss the development of a BATD mobile application, Moodivate, that was developed in order to disseminate BATD via primary care. This paper focuses on description of (1) rationale for Moodivate treatment development, (2) Moodivate treatment components, (3) ongoing clinical trial evaluation of Moodivate, and (4) clinical considerations for incorporating Moodivate into clinical practice.

Development and Pilot Testing of an Internet-Based Self-Help Intervention for Depression for Indian Users

“…[ 13 ]. Clients with low treatment motivation may benefit from approaches aimed at motivational enhancement [ 23 ]. An initial section of PUSH-D incorporated inputs to sustain motivation to complete PUSH-D program.…”

“…Although there have been large-scale empirical studies on internet-based interventions for common mental health problems across the globe, most of these are from Western nations and only some of these well-researched apps are freely available to a potential user [ 23 , 24 , 25 ]. Relatively very little is known about how internet-based methods of delivery of psychological interventions may be received and used in non-Western cultures by individuals for whom they are designed [ 26 , 27 , 28 ].…”

Ativação Em Casa: Princípios De Ativação Comportamental Para Minimização Dos Efeitos Do Isolamento Social

“…Nos dias atuais, essa modalidade terapêutica também tem sido praticada em formatos de teleterapia com eficácia similar àquelas realizadas presencialmente (Lazzari, Egan, & Rees, 2011;Dahne et al, 2017). Entretanto, destaca-se que a produção em torno dessa técnica é predominantemente voltada para interações sociais em contextos extradomiciliares.…”

“…(Sidman, 2006, p. 283) As mídias sociais desempenham um papel útil para ajudar a compartilhar e disseminar recursos (Huremovic, 2019). Visando ampliar o alcance, baseado em modelos de sites e modelos teleterapêuticos de Ativação Comportamental (Dahne et al, 2017), o site Ativação em Casa disponibilizou à comunidade recursos práticos para enfrentarem o período de isolamento social e quarentena, reduzindo os impactos negativos deles decorrentes e potencializando interações que sejam reforçadoras e gratificantes. A proposta consiste em sistematizar as atividades para otimizar o seu alcance sobre o público em quarentena e isolamento social, reduzindo não apenas os impactos negativos, mas também os possíveis abandonos da medida sanitária em função da exaustão da espera.…”

A Behavioral Activation Mobile Health App for Smokers With Depression: Development and Pilot Evaluation in a Single-Arm Trial

“…BAT-D is a promising treatment approach for a targeted mHealth smoking cessation intervention because it has shown promise helping smokers with depressive symptoms quit smoking in the face-to-face format [9,13], its components are well suited to translation into an app (eg, scheduling valued activities and tracking their completion), and it has a strong foundation in behavioral theory [11]. Indeed, other groups have begun developing and testing BAT-D apps for depression either to be used in conjunction with therapist support [18,19] or in self-guided format and designed for a primary care context [20,21]. With the most advanced evaluation of a BAT-D app to date being pilot RCTs not adequately powered to test efficacy [18,22,23] and the remainder of the published work limited to intervention descriptions or single-arm feasibility studies [19-21], there remains much to be learned about how to effectively translate BAT-D principles into mHealth interventions.…”