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Table 5 Study details for qualitative studies (listed in alphabetical order)

From: Behavioral Activation as an ‘active ingredient’ of interventions addressing depression and anxiety among young people: a systematic review and evidence synthesis

First author

Year

Sample size

Recruitment settings & site

Conditions included

Age range (Mean)

Female %

Data & analysis method

Key themes

Studies on BA (n = 3)

Arnott +

2020

8

School, UK

Depression

12–15 (14.06)

50

Interviews, TA

Structure and content acceptable; goal-oriented activities liked the best; homework assignments were helpful; positive impact on mood and functioning; non-specialist therapist guidance appreciated; staggering sessions/ top-up BA session at the end

Bru

2013

10

Clinic, Norway

Depression

17–20 (18.40)

80

Interviews, TA

Scheduling pleasurable activities increased awareness of what makes one happy; psychoeducation was easy to understand, but a few found the emphasis on individual responsibility unacceptable; homework assignments were easy to understand, but some thought it was time-consuming and effortful; suggestion to use simpler language in session and assignments was emphasized

Iloabachie +

2011

83

Clinical and community, USA

Depression

14–21 (17.40)

56

Survey and Interviews, TA based on GT

Participants liked BA; positive gains were identified such as better understanding of mental health, sense of person control, better communication with family, decreased acting out behaviors and scheduling of healthy behaviors

Studies on coping (n = 34)

Al-Khattab

2016

22

Community, USA

Depression

18–21 (20.10)

45

Interviews, CA

Behavioral (e.g., engaging in spiritual activities), and social strategies (e.g., support from others) were helpful

Aselton

2012

13

University, UK

Depression

19–22 (NA)

62

Online interviews, TA

Behavioral (e.g., engaging in hobbies, sports, journaling), and social strategies were helpful

Bluhm

2014

37

University, Australia

Depression & Anxiety

18–24 (20.60)

73

Interviews, TA

Social strategies and self-management were helpful

Boyd +

2011

201

School, Australia

Depression

11–18 (NA)

63

Open-ended survey, CA

Self- acceptance was helpful

Breland-Noble

2010

28

Community, USA

Depression

11–17 (NA)

NA

FGD and Interviews, GT

Social strategies, self-management were helpful

Breland-Noble

2015

28

Community, USA

Depression

11–17 (NA)

NA

FGD and Interviews, TA

Behavioral strategies (e.g., prayers) and social strategies (e.g., social support from religious leaders) were helpful

Chernomas +

2013

251

University, Canada

Depression & Anxiety

21–35 (22.40*)

NA

Open ended survey, TA

Behavioral strategies (e.g., running, yoga, time management, spiritual activities), social strategies (e.g., social interaction), and cognitive strategies were helpful

Dundon**

2006

107

NA

Depression

13–20 (NA)

84*

FGD and Interviews, Multi-method

Behavioral strategies, cognitive strategies, social strategies and self-management strategies (e.g., acceptance, taking self-initiative to improve functioning) were helpful

Farmer

2002

5

University, USA

Depression

13–17 (NA)

60

Interview, PA

Behavioral strategies (e.g., engaging in religious activities), social strategies, and self-care were helpful

Fornos

2005

65

School, USA

Depression

13–18 (15.60)

NA

FGD, TA

Social strategies were helpful

Grob

2002

38

Community, USA

Depression

18–29 (NA)

50

Interviews, TA based on GT

Behavioral strategies, cognitive strategies (e.g., positive thinking, challenging negative thoughts), social strategies (e.g., connecting those with mental health issues), self-acceptance (e.g., growth-promoting attitude) were helpful

Hannor-Walker

2008

10

Clinic, USA

Depression

14–17 (15.60*)

60

Interviews, CA

Social strategies (e.g., support from others) were helpful

Kuwabara

2007

15

Community, USA

Depression

18–25 (23.0)

67

Interviews, TA based on GT

Social strategies (e.g., support from others) were helpful

Martínez-Hernáez+

2016

105

Community, Spain

Depression

17–21 (NA)

69

Open ended survey and FGD, TA

Social strategies (support from others) were helpful

Martínez-Hernáez

2014

105

Community, Spain

Depression & Anxiety

17–21 (NA)

69

FGD and Interviews, TA based on GT

Behavioural strategies (scheduling time and activities) and social strategies were helpful

McCarthy

2008

9

University, USA

Depression

20–23 (20.20)

78

Interviews, TA

Social strategies (support from others) were helpful

McCann

2012

26

Clinic, Australia

Depression

16–22 (18.0)

NA

Interviews, IPA

Social strategies (support from others) were helpful

Morey-Nase

2019

11

Clinic, Australia

Depression

15–25 (21.4)

64

Interviews, TA

Behavioral strategies, self-management and acceptance and social strategies were helpful

Moses+

2009

54

Clinic, USA

Depression & Anxiety

12–18 (14.60)

37

Interviews, CA

Self-management and acceptance were helpful

Ofonedu

2013

10

Clinic, USA

Depression

13–17 (NA)

60

Interviews, PA

Self-management strategies and social strategies were helpful

Oliver

2015

7

Clinic, UK

Depression

–16–18 (16.85)

71

Interviews, IPA

Self-management strategies, social strategies (seeking support, social activities), behavioral strategies (pleasurable activities, important activities) were helpful

Özkul & Günüşen

2020

21

School, Turkey

Depression

14–15 (14.33)

67

Interviews, CA

Behavioral strategies (e.g., engagement in hobbies, scheduling activities), social strategies, self-management strategies were helpful

Recto & Champion

2018

20

School, USA

Depression

15–19 (17.15)

100

Interviews, CA

Self- management strategies was helpful

Ross

2003

48

Community, USA

Depression

13–22 (NA)

NA

FGD, TA

Social strategies were helpful

Ross

2015

6

Clinic, Canada

Anxiety

18–22 (NA)

100

Interviews, TA and case-study

Behavioral strategies (e.g., journaling, goal setting, engaging in enjoyable activities), social strategies, cognitive strategies (e.g., positive self-talk), self-management strategies were helpful

Sabiston

2007

31

Community, Canada

Anxiety

13–18 (15.58)

100

Interviews, TA

Behavioral strategies (e.g., planning healthy eating), cognitive strategies (e.g., distraction, reappraisal), self-management strategies were helpful

Sam

2019

9

University, USA

Depression

Above 18

NA

Interviews, Frame analysis based on GT

Social strategies were helpful

Simonds

2014

9

Clinic, UK

Depression & Anxiety

14–16 (NA)

78

Interviews, TA

Behavioral strategies (e.g., goal setting) and self-management strategies (e.g., awareness of and agency over self) were helpful

Weitkamp

2016

6

Clinic, Germany

Depression

15–19 (NA)

83

Interviews, IPA

Social strategies (e.g., indulging in social activities) were helpful

Wisdom

2004

15

School, USA

Depression

14–19 (16.30)

53.3

FGD, TA

Self-management strategies (e.g., positive labeling for their condition)

Wisdom

2007

15

Clinic, USA

Depression

14–19 (16.30)

53.3

Interviews, TA

Social strategies (e.g., connected to those with similar experiences) were helpful

Wisdom

2006

14

Clinic, USA

Depression

14–19 (16.3)

50

FGD and Interviews, CA

Behavioral strategies (e.g., seeking pleasurable activities), cognitive strategies, social strategies, self-management and acceptance were helpful

Woodgate

2006

14

Clinic, Canada

Depression

13.5–18 (16.0)

78.5

FGD and Interviews, HP

Cognitive strategies (e.g., positive thinking), social strategies (e.g., connecting with a network of those with mental health issues), self-management and acceptance were helpful

Woodgate

2020

58

Clinic, Canada

Anxiety

10–22 (14.50)

NA

Ecomap and Interviews, HP

Self-management strategies were helpful

  1. *Inferred from the data—Not explicitly mentioned, **Metasynthesis, +Mixed-method studies
  2. UK—United Kingdom, USA—United States of America, FGD—Focus Group Discussion, TA—Thematic Analysis, CA—Content Analysis, GT—Grounded Theory, IPA—Interpretative Phenomenological Analysis, PA—Phenomenological Analysis, HP—Hermeneutic Phenomenology, NA—Not Available