Patient Experiences and Opinions of a Behavioral Activation Group Intervention for Depression

Purpose: Major depressive disorder is the leading cause of disability worldwide. This study is part of a mixed methods pilot trial, exploring the effectiveness, acceptability, and feasibility of providing behavioral activation (BA) treatment in a group format. Methods: Using an applied, descriptive...

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Bibliographic Details
Published in:Research on social work practice 2019-01, Vol.29 (1), p.10-18
Main Authors: O’Neill, Laura, Samaan, Zainab, McCabe, Kathleen, Tabak, Terri Ann, Key, Brenda, Litke, Kathryn, Whattam, Jeff, Garrick, Laura, Chalmers, Sandra, Xie, Feng, Thabane, Lehana, Patel, Yogita, Shahid, Hamnah, Zielinski, Laura, Vanstone, Meredith
Format: Article
Language:English
Subjects:
Activation
Behavior Modification
Cognitive behavioral therapy
Cultural groups
Depression (Psychology)
Depressive personality disorders
Disability
Evidence Based Practice
Feasibility
Feedback
Feedback (Response)
Group Therapy
Health care
Health services
Intervention
Mental depression
Outcomes of Treatment
Patient satisfaction
Patient-centered care
Patients
Pilot Projects
Professional practice
Program Effectiveness
Quantitative analysis
Severity (of Disability)
Social research
Social support
Social work
Treatment outcomes
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Summary:Purpose: Major depressive disorder is the leading cause of disability worldwide. This study is part of a mixed methods pilot trial, exploring the effectiveness, acceptability, and feasibility of providing behavioral activation (BA) treatment in a group format. Methods: Using an applied, descriptive approach, qualitative data were collected from individual interviews (18) and focus groups (5) at multiple data points throughout the trial and feedback given to group facilitators, who adapted the program accordingly. Results: Group BA is an effective and acceptable treatment format when a client-centered, flexible approach is utilized. This contrasted with findings from the comparison intervention, a peer support group, from which participants reported no benefit. Conclusions: Group BA is beneficial in a fiscally responsible evidenced-based health-care culture. Comparator groups need to be carefully selected. Engaging patient and clinician perspectives when designing and implementing new clinical interventions is vital in informing future research and social work practice.
ISSN:1049-7315
1552-7581
DOI:10.1177/1049731517749942