Fazzino Tera L, Kunkel Adrianne, Bellitti Joseph, Romine Rebecca Swinburne, Yi Richard, McDaniel Courtney, Lejuez Carl W
Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, Kansas, USA.
Department of Psychology, University of Kansas, Lawrence, Kansas, USA.
Behav Change. 2023 Jun;40(2):103-116. doi: 10.1017/bec.2022.7. Epub 2022 Jun 16.
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; = .154) or the duration of monitoring engagement (62.0 vs. 36.0 days; = .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.
行为激活（BA）是一种有效的治疗方法。活动监测是简短BA治疗的关键组成部分；然而，尚无研究考察监测的最有效形式。本试点研究在大学迎新课程中实施的BA干预期间，测试了简短与密集活动监测方法。结果包括：（1）通过活动监测对治疗方案的参与度，以及（2）焦点小组访谈中报告的参与者对监测及干预的定性体验。四个课程组被随机分配接受简短（每天评估三次活动）或密集（每小时评估一次活动）的监测表。通过一个基于网络的平台以电子方式向学生提供表格，并跟踪完成情况。简短和密集条件之间在监测频率（38.0天对23.0天；P = 0.154）或监测参与持续时间（62.0天对36.0天；P = 0.054）方面无显著差异。定性研究结果表明，两种条件下的参与者都发现活动监测有用，尤其是在他们过渡到大学的第一个月。总体而言，研究结果表明，参与者在使用简短或密集监测表的BA干预的第一个月可能会发现监测有用。
